Department of Psychiatry

ANNUAL REPORT 2009-2010

DEPARTMENT OF PSYCHIATRY ANNUAL REPORT SCHULICH SCHOOL OF MEDICINE & DENTISTRY THE UNIVERSITY OF WESTERN ONTARIO

ANNUAL REPORT July 1, 2009 – June 30, 2010

TABLE OF CONTENTS

Page

Message from the Chair/Chief – Dr. Sandra Fisman 3

The Administrative Team in the Department of Psychiatry 5

Division Reports The Division of Child & Adolescent Psychiatry – Dr. Margaret Steele 6 The Division of Developmental Disabilities – Dr. Rob Nicolson 9 The Division of Forensic Psychiatry – Dr. Jose Meija 12 The Division of General Adult Psychiatry – Dr. Jeff Reiss 14 London Health Sciences Centre Based Services 15 St. Joseph’s Health Care Based Services 18 The Division of Geriatric Psychiatry – Dr. Lisa VanBussel 20 The Division of Neuropsychiatry – Dr. Peter Williamson 25 The Division of Social and Rural Psychiatry – Dr. Abraham Rudnick 30

Education in the Department of Psychiatry 32 Our Educational Leaders 32 Postgraduate Education - Dr. Michele Doering 34 CaRMS & PGY1 Portfolio Report – Dr. Christopher Tidd 36 Undergraduate Education – Dr. Raj Harricharan 38 Continuing Medical Education and Continuing Professional Development – Dr. Varinder Dua and Mr. Joel Lamoure 39 Monthly CME Events from July to December 2009 40 Weekly Coordinated Professional Development Events from July to December 2009 42 Special Educational Events from July 2009 to June 2010 43 2009-2010 CME Awards 46

Research in the Department of Psychiatry – Dr. Ross Norman 47 Research Profiles 49 Dr. Paul Frewen 49 Dr. Marnin Heisel 49 Dr. Ruth Lanius 50 Dr. Derek Mitchell 50 Dr. Rob Nicolson 51 Dr. Ross Norman 52 Dr. Elizabeth Osuch 52 Dr. Nagalingam Rajakumar 53

2009-2010 Department of Psychiatry Annual Report 1

DEPARTMENT OF PSYCHIATRY ANNUAL REPORT SCHULICH SCHOOL OF MEDICINE & DENTISTRY THE UNIVERSITY OF WESTERN ONTARIO

ANNUAL REPORT July 1, 2009 – June 30, 2010

TABLE OF CONTENTS cont’d

Research in the Department of Psychiatry Research Profiles Cont’d Dr. Abraham Rudnick 54 Dr. Walter Rushlow 54 Dr. Peter Williamson 55 Annual Research Report 2009-2010 56 Publications – Peer Reviewed Journals 56 - Book and Book Chapters 70 - Other 72 Abstracts, External Conference Presentations and Invited Talks 76 Peer Reviewed External Grants 92 Internal Grants 100 Other Grants 101

Bioethics in the Department of Psychiatry – Dr. Abraham Rudnick 104

The London Hospitals Mental Health Programs – Dr. Sandra Fisman and Ms. Sandy Whittall 104

Department of Psychiatry Faculty 106

Department of Psychiatry Division Awards 110

2009-2010 Department of Psychiatry Annual Report 2

Message from the Chair/Chief

“Completion of our facilities rebuild will further enable our clinical and academic accomplishments and our vision as an excellent clinical academic department poised to participate in an Academic Health Sciences Network.”

Sandra Fisman

The past year has been one of reflection and self-evaluation, with completion of a Self Study in the fall and an external review of the department in the late spring.

The self-appraisal process provides an opportunity to “take stock” of an academic department and look back at the journey traveled over the past 5 years. By all objective standards, and viewed through academic and clinical metrics, there has been significant progress made in the academic Department of Psychiatry at the Schulich School of Medicine & Dentistry and its affiliated mental health care programs at London Health Sciences Centre, St. Joseph’s Health Care/Regional Mental Health Care and the Child & Adolescent Programs in the London community.

The external reviewers of the department, both well-respected Canadian health care leaders and academics, Drs. Katharine Gillis and Trevor Young, enthusiastically endorsed the changes at our centre and the progress that has been made. “It is clear that the department has many achievements and is in a much better place than it was when the last review was undertaken five years ago.” Specifically, the reviewers remarked on the increased research productivity with a doubling of Tri-council funding and increase in publications. Four research chairs have been established and filled. There has been increased recruitment of excellent clinician and basic science faculty. The education programs: undergraduate, postgraduate and CME are strong. There has been the development of innovative programs for First Episode Psychosis; First Episode Mood & Anxiety Disorders; Social & Rural Psychiatry; Bioethics; further development for the Child & Adolescent Psychiatry Division which remains very strong; Child & Adolescent Developmental Disabilities and the Geriatric Psychiatry Program.

The annual report continues to highlight the activities of our seven academic divisions which include General Adult Psychiatry, Social & Rural Psychiatry, Child & Adolescent Psychiatry, Geriatric Psychiatry, Developmental Disabilities, Neuropsychiatry & Forensic Psychiatry. We continue to have some overlap and important collaboration across our divisions and some

2009-2010 Department of Psychiatry Annual Report 3 strong clinical academic programs within the divisions. A strong central department ensures co-ordination among divisions and allows our faculty to thrive academically.

We are blessed with strong linkages to our administrative partners in our affiliated teaching facilities and to our research institutions. Each of our academic divisions provides the academic context for teaching, training and research in conjunction with our clinical programs. Linkage with the Schulich based Robarts Research Institute and the hospital based Lawson Health Research Institute and our clinical programs allow opportunity for translation of research findings into clinical practice. This is evident in reading the profiles of our leading researchers in the Annual Report. The London hospitals Mental Health Programs report highlights the strength of the shared administrative partnership between the Vice-President Mental Health Services and the Chair/Chief/Senior Medical Director for the Integrated Mental Health Care Program. For the Child & Adolescent Division, the academic clinical linkages include the affiliated services at London Health Sciences Centre, CPRI and Madame Vanier Centre.

The success of our academic mission is fueled by our cross fertilization with other academic clinical and basic science departments at Schulich and other faculties at Western. The clinical collaborations in particular with the Department of Family Medicine, with Cancer Care, with Geriatric Medicine, with Pediatrics, with Surgery through C-Star to mention only a few, provide pathways to better patient care and academic opportunities (both teaching and research). The generative collaborations with the Departments of Anatomy & Cell Biology, with Epidemiology and Biostatistics, with Psychology & Philosophy, create pathways for the translation of research findings into clinical care and, in particular, foster the contributions of the valued Basic Scientists in our Department.

We value the relationship that the Department of Psychiatry has through the Leadership (Development) Council with the London Health Sciences Foundation, The Children’s Foundation, and the St. Joseph’s Mental Health Foundation. The annual Breakfast of Champions continues, after four years, to be a sold out event and an opportunity to recognize the passionate champions of mental health in our community. We value the support of the foundations for clinical research and care innovations and our donors who have promoted these activities and programs.

We are blessed with committed and enthusiastic educational leadership at all levels in the Department of Psychiatry including undergraduate, postgraduate and continuing education as well as an emphasis on interprofessional education which resonates with our model of care delivery in mental health. To this end, there are separate reports for each aspect of education in this annual report and a continued clearly articulated strategic direction to enhance educational scholarship in the Department of Psychiatry. An important enabler of teaching and scholarship in education for our department has been the Alternative Funding Plan and, in particular, Phase 3 of the plan with the clear articulation of educational deliverables linked to this funding. The department enjoys its collaboration with the Centre for Educational Research & Innovation at SSM&D as it moves the faculty forward with a culture that values educational scholarship.

As Chair for the Department of Psychiatry, I have been committed to the development and mentoring of our next generation of academic psychiatrists. As a department, we have witnessed not only the quantitative growth of our residency program but also a change in quality. We have reorganized our Postgraduate Program to align with more prescriptive Royal College training guidelines initiated in July 2009. We have been leaders in embracing the CANMEDS Roles in our training objectives and our evaluation methodology. In addition, we have been delighted that a number of our trainees continue to join the department as junior faculty, and we have achieved, gradually over the past several years, a balance of 2009-2010 Department of Psychiatry Annual Report 4 gender and diversity among our junior and mid-level faculty. We have an awareness of cross generational differences, the need to work differently and the value of faculty mentoring and role modeling and respect for family values among our faculty.

In a changing and ever evolving world of service delivery for our teaching hospitals generally, and mental health specifically, we have been faced with both challenges and opportunities over the past number of years as the recommendations of restructuring and mental health reform come to fruition in the face of ever increasing need for accessible and effective, efficient mental health services. Milestone 2 Phase 2 will be completed with the full transfer and consolidation of adult and children and adolescent mental health at Victoria Hospital by April 2011; Milestone 2 Phase 3 will follow within a year or two of this with relocation of neuropsychiatry and consultation liaison from the 10th floor to the 3rd floor of University Hospital with Neuropsychiatry Clinical Research in the basement at University Hospital.

Finally, the new facilities for tertiary specialized mental health at the Parkwood site on Commissioners Road and forensics in St. Thomas, will be completed by 2013/2014. To support these changes, the development of adequate ambulatory care services for both London Health Sciences Centre and Regional Mental Health Care and the capacity to stabilize, treat and discharge patients from bedded care as well as providing alternatives to admission will be key to a successful transformation. At the same time, we need to pay careful attention to our academic mission and, in particular, ensure adequate space for our education and research mission. We continue to work with our hospital partners to ensure that these important Department of Psychiatry strategic initiatives are successful.

As I look forward to the conclusion of my second term as Chair/Chief for Psychiatry, and back over the past 9 years through two terms, in spite of the trials and tribulations that are an inevitable part of the role as Department Chair, the Department of Psychiatry at Schulich has become an exciting place to be. With the recruitment of many strong academic faculty and the development of our medical leaders in psychiatry, we can look to the future with pride and confidence in our ability to deliver on our clinical and academic mandate.

Sandra N. Fisman, MBB, Ch, FRCP(C) Professor & Chair, Department of Psychiatry Schulich School of Medicine & Dentistry The University of Western Ontario

The Administrative Team in the Department of Psychiatry

The engine of our department is our strong administrative team! In December 2009, we wished Susan Habib, our Administrative Officer, farewell as she prepared for a period of full- time motherhood. We were fortunate to have Deborah Lucas move seamlessly into the Administrative Officer position. Deborah brought her corporate and her UWO experience and she, in turn, was fortunate to inherit a strong and committed team with tremendous experience and expertise in their individual portfolios. Under Deborah’s strong and collaborative leadership, our administrative team has blossomed as a cohesive whole, whose sum is greater than its parts. Heather Deisley was the unanimous choice of the Psychiatry Administrative Group as a nominee for the Dean’s Award of Excellence – Staff and she received this award at the Dean’s Award Dinner in May 2010.

The growth of our administrative team has paralleled the growth of our department: over the past 8 years, we have doubled our number of full-time clinical academics (31 to 65), tripled

2009-2010 Department of Psychiatry Annual Report 5 the size of our residency program (11 to 30) and have been part of the undergraduate expansion and the growth of the Distributed Medical Education Program (Windsor and Rural – Regional). The financial complexity of the department budget has significantly increased with the AFP and other funds coupled with budgetary cutbacks and different physician reimbursement models between LHSC and RMHC.

Without the support of our administrative team, we could not have done this. Thank you to each and every one of you. Sandra Fisman

Psychiatry Administrative Group 2010

Deborah Lucas - Administrative Officer Irene May - Administrative Assistant Chair/Chief Bonnie Ideson - Human Resource Consultant Bernice James - Finance Heather Deisley - Administrative Assistant, Undergraduate Education Eva Adams - Administrative Assistant, Postgraduate Education Glenda Shilleto - Administrative Assistant, CME/CPD Debra Martin - Administrative Assistant, Child & Adolescent and Geriatric Psychiatry Divisions Hanna Siemiarczuk - Administrator, ECP, SWOMEN, Division of Social & Rural Psychiatry Anna Domingues - Administrative Assistant, ECP, SWOMEN, Division of Social & Rural Psychiatry Maria Gitta - Coordinator, Developmental Disabilities Division Colleen Chryssoulakis - Administrative Assistant, Developmental Disabilities Division Suzena Mendes - Administrative Assistant, AFP, Forensic Psychiatry Division and General Department Support Cathy Kramer - Administrative Assistant, Chair/Chief, General Adult Psychiatry Tracey Jansen - Administrative Assistant, Site Chief, RMHC Tracy Henebry - Administrative Assistant, Chair/Chief, Child & Adolescent Psychiatry

Division of Child and Adolescent Psychiatry

“With our national reputation for excellence in education and our enthusiastic committed interprofessional faculty, the Division of Child and Adolescent Psychiatry continues to develop and move forward towards subspecialization.”

Dr. Margaret Steele

The Division of Child and Adolescent Psychiatry has continued to have unprecedented growth over the past year. We welcomed Dr. Sarah Armstrong, Dr. Patricia Hall, Dr. Heidi

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Haensel, Dr. Leanna Isserlin, and Dr. Loveday in London and Dr. Humera Athar and Dr. Claire Stroker in Windsor as our newest child and adolescent psychiatrists.

Education continues to be a strong aspect of our Division with Dr. Ajit Ninan, Dr. Sanaa Helmi and Dr. Tam Doey playing key leadership roles in undergraduate education in the Department of Psychiatry. Dr. Ninan continues as the undergraduate education coordinator for the Division of Child and Adolescent Psychiatry (DCAP). Dr. Ninan led a working group to develop recommendations on how to enhance the clinical clerkship experience for medical students. Educators within the Division attended a retreat to review the recommendations. Dr. Ninan developed a video interviewing a child with mental health problems so that students could watch this video before they began their clerkship experience. Dr. Doey coordinates the comprehensive clerkship experience in Windsor which continues to be rated highly by the clerks. Dr. Sohail Makhdoom and Dr. Rob Nicolson continue to be passionate about teaching developmental disabilities to the clinical clerks. In addition to coordinating the child and adolescent psychiatry clerkship in London, Dr. Ninan continues to coordinate the numerous requests from medical students to complete electives. Dr. Doey has also co-ordinated several medical student observerships in Windsor. Dr. Steele was invited to speak at the Psychiatry Interest Group about the life of the Child and Adolescent Psychiatrist and this was well attended by students from London and Windsor. Dr. Sanaa Helmi has continued as the week captain for the child and adolescent psychiatry week of the Medicine 5207 course and she has also been the course manager for the entire Medicine 5207 course.

At the postgraduate level, Dr. Patricia Hall has taken on the role as Postgraduate Education Coordinator for the DCAP. In a short period of time, Dr. Hall has made significant contributions to residency training. She is working with a number of family therapists at the various children’s mental health agencies to develop standardized guidelines for the teaching of family therapy to residents so that the residents can do family therapy training at various sites. This group is utilizing the excellent guidelines which had been developed by the family therapy team at London Health Sciences Center (LHSC) including Stephanie Rabenstein, Bill McIntosh, Connie Boles, Rita VanMeyel, and Deborah Broadbent. Dr. Hall is also facilitating the Child and Adolescent Psychiatry Teaching Rounds where psychiatry residents present a wide variety of child and adolescent topics. Dr. Hall is also a member of the newly developed Department of Psychiatry Fellowship committee where applications for fellowship training will be reviewed. Dr. Hall has also met with the resident group to look at ways to enhance the residency training in child and adolescent psychiatry and she has revised the Postgraduate Year three (PGY3) module series on child and adolescent psychiatry to ensure key topics are being covered. Dr. Leanna Isserlin is co-leading the PGY2 and PGY4 module series. Residents Dr. Leslie Ritchie and Dr. Zev Greenspan, with guidance from Dr. Sandra Fisman, were involved in the drafting of a module series on psychotherapy which takes a developmental approach to psychotherapy. Dr. Sohail Makhdoom has also worked with the Department of Pediatrics to revise the learning objectives in child and adolescent psychiatry for the pediatric residents. Dr. Makhdoom continues to coordinate the mandatory psychiatry rotation for pediatric residents. Dr. Cheryl Willsie, a first year resident, has represented the residents on the DCAP Advisory Committee.

With a focus on developing evidence based clinical knowledge and promoting inter- professional learning, Division of Child and Adolescent Psychiatry continues to be actively engaged in organizing Continuing Medical Education (CME) activities, both at the Divisional and Departmental level. Dr. Naveed Rizvi has taken on the role of Continuing Medical Education Director for the DCAP and has done a terrific job at moving CME forward in child and adolescent psychiatry. During the year 2009-2010 the DCAP invited a number of nationally and internationally renowned guest speakers for the CME activities offering a wide 2009-2010 Department of Psychiatry Annual Report 7 range of learning opportunities. The CME events were well attended and well received by faculty members, health professionals, residents, medical and health profession students as well as community partners.

Dr. Carter, research coordinator for the DCAP, took on the additional role of being the DCAP representative to the Research Ethics Committee at The University of Western Ontario. It has been helpful to have a child and adolescent mental health researcher on the Ethics Committee to help members of the Ethics Committee appreciate some of the unique aspects of doing research with children and youth with mental health disorders and their families. Dr. Carter also sits on the Department of Psychiatry Research Committee which has been reviewing continuing education in research. In addition, the requirements for the residents’ research have been forwarded to the Resident Training Committee for the Department of Psychiatry for further discussion. Dr. Shannon Stewart, Manager of Applied Research and Education at CPRI, has been leading several interesting research projects. CPRI held their first Research Day in 2009 which focused on Children and Youth with Complex Mental Health Needs: Service Utilization, Outcome and Best Practice. Six key speakers were chosen to represent a portion of the CPRI research conducted onsite and in collaboration with professionals at UWO. This was an extremely successful event with 190 participants from 70 agencies. Dr. Julie Eichstedt, Chair of the Research Committee at LHSC, has been leading research in the area of anxiety disorders in children and youth. Dr. Steele, Dr. Tam Doey, Dr. Neal Stretch, Dr. Richard Zayad and Brenda Davidson, research associate, are involved in a national study which involves surveying family physicians and pediatricians in rural and remote areas in every province and territory in Canada to determine what they want to learn in the area of children’s mental health and how they would like to learn. This research is being funded by the Children’s Health Foundation. Dr. Leanna Isserlin was the winner of the 2009 Dan Offord Research Award for her paper, "Therapeutic Alliance and Family-based Treatment for Adolescents with Anorexia Nervosa". The Dan Offord Research Award is given by the Association of Professors of Child and Adolescent Psychiatry of Canada (APCAPC). Dr. Leanna Isserlin also one the best presentation for a student at the Department of Psychiatry Annual Research Day in June, 2009 for her research paper entitled “Perceived barriers to completing research during psychiatry residency.” Many members, faculty and students of the Division continue to be involved in a variety of research activities which have been presented at local, national and international conferences and published in peer-reviewed journals.

CPRI celebrated its' 50th anniversary on May 6,2010 At this event Anne Stark, Administrator of CPRI, Mr. Eugene Sorin, previous Administrator and Dr. Ben Goldberg, past Director of Treatment, Training and Research were among the speakers. Numerous past and current employees, families, and volunteers attended the wonderful celebration. Dr. Toni Swart has published two books about CPRI "St. Luke's in the Garden Chapel" and "The Beck Memorial Sanatorium 100 Years after it Opened". Dr. Ajit Ninan has become the new Chief of Treatment and Dr. Nevena Dourova is the new Psychiatry Discipline Lead at CPRI. CPRI has announced that they will be building a new state of the art children's mental health agency in the coming years. Several other children’s mental health agencies, Vanier Children’s Center, WAYS, Craigwood Youth Services and Oxford Elgin Child and Youth Centre have begun discussions to explore the possibility of becoming one agency. The Western Hub of telepsychiatry is currently providing Telepsychiatry services to five designated sites and 3 satellite sites. During the year 2009-2010, Western Hub provided 165 Clinical Consultations and 14 Program Consultations to the designated mental health agencies and have provided 15 education sessions. The child and adolescent mental health care program at Children’s Hospital is planning their move to the new tower in October, 2010. In Windsor, Dr. Y. Mirza became the Head of the Child and Adolescent Psychiatry Program. Windsor Regional Hospital is creating a new integrated Family Mental Health and

2009-2010 Department of Psychiatry Annual Report 8

Addictions Services with members of the division actively involved in this process. A video link has been established between Windsor and Chatham Kent Health Alliance and within the offices of pediatricians in Chatham that will allow crisis assessments by the team in Windsor.

I would like to congratulate our award winners for this year. This year the winners of the three Division of Child and Adolescent Psychiatry Awards are: Alana Bresset for the Excellence in Undergraduate Child and Adolescent Psychiatry Teaching for 2008\2009 and Dr. Isabelle Bourque, resident, for 2009\2010; Dr. Naveed Rizvi for the Excellence in Postgraduate Child and Adolescent Psychiatry Teaching; and Dr. Tam Doey as the Star of the Year Award for the Division of Child and Adolescent Psychiatry. In addition, I was fortunate to be awarded the Fellow of the Canadian Psychiatric Association at the Annual Meeting of the Canadian Psychiatric Association in 2009 and the Schulich Postgraduate Educator Award.

The interprofessional model of the Child and Adolescent Division extends to its administrative structure. The Advisory Committee includes Dr. Jeff Carter, Dr. Bruce Connell, Dr. Tam Doey, Dr. Ajit Ninan, Dr. Naveed Rizvi, Ms. Susan Ralyea, Dr. Cheryl Willsie, Dr. Barrie Evans and more recently Dr. Patricia Hall. The time commitment of the Advisory Committee and others who contribute in so many ways to the enhancement of child and adolescent psychiatry at The University of Western Ontario is greatly appreciated. This includes faculty members, affiliate members, residents, medical students and administrative staff. Special thanks to Debra Martin who does an excellent job ensuring the Division of Child and Adolescent Psychiatry runs smoothly and Suzie Mendes who has been assisting with the Continuing Medical Education activities.

We are also planning a strategic planning retreat in the fall of 2010 to look at the vision and mission for our Division in the next five years. We look forward to all members of the Division of Child and Adolescent Psychiatry participating in the retreat to shape the future of academic child and adolescent psychiatry in the Department of Psychiatry at the Schulich School of Medicine and Dentistry at the University of Western Ontario.

Developmental Disabilities Division

“It continues to be an exciting time in the field of developmental disabilities.”

Dr. Rob Nicolson

The Developmental Disabilities Division (DDD) was established within The University of Western Ontario’s (Western) Department of Psychiatry in 2003, with primary goals of attracting academic leadership in developmental or intellectual disabilities, to provide a “home” in order to develop and maintain a critical mass of individuals working within the 2009-2010 Department of Psychiatry Annual Report 9 field, and to facilitate the continued development of education and research in developmental disabilities under a single umbrella.

Dr. Rob Nicolson is the Chair of the DDD. Regarding the Division’s education goals, the responsibilities have been divided among a triumvirate, with Dr. Nicolson taking the undergraduate education lead, Dr. Jay Rao is the postgraduate education lead and Dr. Greg Gillis is the lead for community and continuing medical education.

Staff consists of Maria Gitta, Division Coordinator, and Colleen Chryssoulakis, Administrative.

An Advisory Board consists of members of community service agencies, college and university representatives, school board representatives, and representatives of the Ministry of Community and Social Services. The Board meets quarterly and advises the leadership of the Division on potential areas of relevance to the DDD. The Chair of Psychiatry has always been the chair of the Advisory Board. Dr. Sandra Fisman has chaired the board for the past nine years.

EDUCATION Education of physicians regarding developmental disabilities remains the Division’s greatest priority. We have continued to enhance the educational opportunities for physicians and allied professionals in developmental disabilities. The educational opportunities at all three levels (undergraduate and graduate medical trainees and continuing medical education) are unique across Canada and certainly places the DDD on the vanguard of medical education at a national level regarding developmental disabilities.

Dr. Nicolson and Dr. Sohail Makhdoom (at the Child and Parent Resource Institute) continue to provide a half-day of teaching and clinical experience in developmental disabilities for third year clinical clerks, an experience which has received positive feedback and which appears to be quite unique at a national level in terms of teaching in developmental disabilities. A lecture by Dr. Nicolson to second year medical students on developmental disabilities continues to be well-received. Drs. Nicolson and Rao also continue to teach elective students from Western, Canadian and international universities.

In order to foster an interest in patients with developmental disabilities, the Division has given an essay award annually in the amount of $500, which has now been renamed this year ‘The Dr. Greta Toni Swart Essay Award in IDD’, to an undergraduate medical student who submits the best essay on developmental disabilities. The winner for 2009-2010 was Ms. Laura Hinz, Meds 2011. Ms. Hinz’s exceptional essay described her experience providing medical care to an adult with an intellectual disability while working with a community family doctor. We will be opening up the award to all UWO medical students, undergraduate and postgraduate.

Drs. Nicolson and Rao provide lectures and seminars for psychiatry and family medicine residents. The number of psychiatry residents requesting rotations in developmental disabilities continues to increase, which is a strong indicator of the quality of the teaching provided and the increasing recognition of the importance of developmental disabilities in psychiatric practice. Additionally, pediatric residents are expected to spend several days seeing patients with developmental disabilities during their rotations at CPRI.

The DDD is responsible each September for the Department of Psychiatry Continuing Medical Education Rounds. In September of 2009, the guest speaker was Dr. Randi Hagerman of the University of California at Davis. Dr. Hagerman is internationally

2009-2010 Department of Psychiatry Annual Report 10 recognized as a foremost expert in Fragile X Syndrome, and her update on advances in Fragile X Syndrome was exceptional. Additionally, the DDD presents an annual continuing medical education day on developmental disabilities for practicing community psychiatrists, pediatricians, and family doctors, nurses and other health providers. The topics presented at the most recent CME day were accessing community resources, obesity in children and adolescents with developmental disabilities, and pharmacological causes of obesity in developmental disabilities. As in previous years, the feedback by attendees was overwhelmingly positive. This annual refresher in developmental disabilities is one – if not the only -- of very few such events held for physicians nationally.

In addition, Drs. Nicolson, Rao, and Gillis are each involved in providing presentations to professional and advocacy groups, with the total audience for these presentations being well over 1,000 people during the past academic year. The DDD, in ongoing partnership with the UWO Autism Centre of Excellence (ACE), continues providing lectures for parents and community agencies on developmental disabilities. And over the past two or three years we have arranged for all of the outside speakers to provide lectures to community members in addition to the academic lectures. Furthermore, this academic year the DDD and ACE began to present monthly education and service rounds at CPRI. These consist of a case presentation and discussion of research literature relevant to the case. Attendance has been good and the feedback has been overwhelmingly positive.

Maria Gitta and Dr. Greg Gillis continue their provincial involvement in the ongoing development of Primary Health Care Consensus Guidelines for Adults with IDD and online teaching modules along with educators from the other five provinical medical schools and other health educators. The Guidelines are revised and will be republished in Canadian Family Physician this year or early next year. As well, Maria Gitta and Dr. Gillis act as facilitators for the annual online teaching modules that begin and end with related workshops in Toronto in the fall and spring.

The Division continues to clearly meet the goal of increased education in developmental disabilities for professionals and advocates, and this strength has been recognized by individuals and organizations nationally. Clearly, in the seven years since the inception of the Division, the DDD has become a national leader in education on developmental disabilities for physicians. In the coming year, we will continue to develop new avenues of medical education and make greater use of electronic media and the internet in order to expand our educational scope. As one of our first steps towards this goal, we continue to videotape the presentations by the invited speakers and put these videos on the website.

RESEARCH As education, research, and clinical service in developmental disabilities are all integrally related, with each informing the other, a strong academic and research focus for the DDD is essential. The bimonthly research rounds which were held in past years have been replaced by the monthly education and service rounds described above. Attendance at these newer rounds has been greater and has also had a greater diversity in terms of the professional background of the attendees. The emphasis on the relationship between research and clinical service has provided for better opportunities for discussion at each presentation. Importantly, students in a variety of medical and professional disciplines have been active participants in these rounds.

During the 2009-2010 academic year, the DDD established an annual research award to encourage and fund new research in developmental disabilities at UWO. The C. Kingsley Allison Award (named after the gentleman who donated the money) will be awarded annually for research on developmental disabilities undertaken at UWO. The funds for this

2009-2010 Department of Psychiatry Annual Report 11 were made available through an endowment of $215,000. Mr. Allison was an executive with the O Pee Chee company in London with a personal interest in developmental disabilities. The awards will be made available for the first time during the 2010-2011 academic year.

In closing, interest in developmental disabilities continues to grow at The University of Western Ontario. With few academic programs in developmental disabilities in Canada, the Division of Developmental Disabilities at UWO has become a national leader in the field. In partnership with the Autism Centre of Excellence at the University of Western Ontario (also part of the Department of Psychiatry), we expect to continue to enhance the visibility and importance of intellectual and developmental disabilities education and research at UWO and within Ontario and to solidify the role of the Division of Developmental Disabilities as a national leader in education and research.

Division of Forensic Psychiatry

“Forensic psychiatry is the human effort to understand the most inhumane of our species behavior.”

Dr. Jose Mejia

The Division of Forensic Psychiatry consists of a group of interested professionals from diverse fields of expertise who are interconnected by the manifestations of mental health disorders that manifest as legal transgressions. Our division is unique in that it covers the entire lifespan and is very broad in scope given the many services and areas of expertise of its members. More specifically, at the divisional table are representatives from law, social work, occupational and recreational therapy, psychology, forensic psychiatry and neurology. Within these roles, they cover fields of expertise that include education, research (clinical, basic, social sciences), quality control, epidemiology, and others.

The Division has achieved success in attracting students from medicine, nursing, social work, law, forensic sciences, psychology and criminology who have had exposure to the clinical interactions and educational opportunities presented by Division members. During the current year and as it is customary now, the educational activities have included lectures to third year medical students in violence and antisocial behaviours and psychiatric residents in the forensic system in Canada for adults and youth, as well as addiction disorders in children and adolescents. Bedside teaching was also very active involving mentally ill individuals in the forensic system, not only from the psychiatric management perspective but also with regards to the unique judicial procedures inherent to their condition within the legal system.

Other less formal academic activities include the co-ordination of voluntary work that two undergraduate students have pursued, one to improve the appearance and functionality of the webpage of the Forensic Psychiatry Division and the other one in relation to a literature review on malingering and exaggeration of symptoms amongst children and adolescents.

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Open to all mental health professionals, a lecture in malingering and exaggeration of symptoms took place at the Wickware Auditorium at Regional Mental Health Care London as part of the Continuous Medical Education series and was awarded the Best Lecture Award of 2010. This was an event contemporaneous to reports of three cases of malingering in the national news, which also led members of the Division to appear in three radio and one TV interview in Ontario and Alberta. Part of the educational role to the community, an evening including commentary to a documentary on suicide, took place at the Central Library in London with the participation of members of the community who after watching the movie, debated and commented on suicide and other mental health issues in our community.

There is emerging interest in Forensic research and particularly the discovery of cognitive and imaging patterns of activity in the brains of those affected by antisocial behaviours. This work has continued in collaboration with Dr. Elizabeth Finger in the Department of Clinical Neurological Sciences and, Dr. Derek Mitchell, a cognitive neuroscientist in the Department of Psychiatry & Anatomy and Cell Biology. Recruitment for this study continues.

Members of the division have also actively participated in the formation and work of the SMART train group which was formed with the goal of constituting a network to seek grants and research studies aimed to explore the application of new technologies in the improvement and advance of provision of services to mentally ill individuals.

Building a collaboration with the London Courts has resulted in the planning of a new service aimed at providing immediate service to mentally ill individuals who find themselves undergoing judicial processes with the objective of expediting and triaging services to these subjects and avoid unnecessary delays and waste of resources. This service will also have the objective of involving residents in psychiatry in order to fulfill one of the training requirements for collaborative mental health care with other services. This service, in co- ordination with the established acute care forensic clinic at London Health Sciences Centre, will continue to train and educate students in providing services to individuals that have committed criminal offences and find themselves in need of psychiatric attention while serving their sentences or undergoing judicial processes in the community. The clinic has been in existence for more than two years and will hopefully now, expand services to youth and elders, supplementing the training for resident electives and for clinical clerks in forensic psychiatry.

These evolving interdisciplinary and transdisciplinary relationships were highlighted in a joint session discussing practical matters between lawyers and psychiatrists are in the form of a debate. With a very enthusiastic audience of members of the judiciary and in particular, the Hon. Judge Livingstone, several psychiatrists, psychiatric residents, nursing professionals and medical students, the discussion around the various aspects of involuntary commitment was very animated. Much encouragement towards the continuation of such activity has been expressed and new plans are on their way to continue this type of exchange.

Finally, the collaboration with London Police Service continues in the form of involvement in crisis situations where mentally ill individuals require deployment of the police tactical team for their control. Psychiatrists contribute their expertise assisting the negotiators with clinical advice about their interventions while the negotiations take place.

Attendance, advocacy and lecturing have been central activities of the Division of Forensic Psychiatry at various forums in which the Human Justice Co-ordination Committees meet. The committee includes representatives from the Ministry of Health, Children and Youth Services and the Office of the Attorney General. The direct result of these encounters has

2009-2010 Department of Psychiatry Annual Report 13 an increased awareness of the need for Forensic Services across the life span, including the adolescent and geriatric populations.

Our Division will play an important role at Western as we position ourselves to be able to provide the required education and clinical experiences to meet the future training requirements. Much hard work lies ahead to ensure that we can meet the training requirements for a subspecialty PGY6 year in Psychiatry and the Law. To assist with this and to review the academic status of the Forensic Division, Dr. Sandy Simpson recently recruited head of the Psychiatry and the Law Program in the Department of Psychiatry at the University of Toronto, will conduct an external review of the division in the spring of 2011. Dr. Simpson previously has visited London in his new role, enlightening his audience about the relationship between psychosis and violent behavior.

Division of General Adult Psychiatry

“Regardless of whether the desired outcome is meeting societal needs, providing robust core training for our medical students and residents, establishing a solid platform onto which further subspecialization can be built, or fostering the mindset of psychiatric scientific inquiry, a strong General Adult Psychiatry Program is essential, and what can be expected from Western.”

Dr. Jeff Reiss

Primarily based out of the London Health Sciences Centre, the Division of General Adult Psychiatry (DGAP) is the academic home of acute care psychiatry, spanning the continuum of mental healthcare.

Entrusted to the division is the responsibility to provide the core educational experiences required by medical students, psychiatry residents, as well as those from family medicine and other specialties, in addition to trainees in related health disciplines. As such, the division’s influence extends beyond just producing competent psychiatric generalists, notwithstanding the importance of the latter.

The division has had a very productive academic year. Much of the department’s undergraduate, postgraduate, and continuing medical education/continuing professional development are delivered by DGAP faculty. The nationally acclaimed UWO Psychiatry Exam Preparation Course, organized by our Dr. Praful Chandarana, and taught in large part by a number of Department of Psychiatry members (many from the DGAP), continues to grow in popularity on an annual basis. Similarly, our research productivity has increased as can be attested to in the research section of this annual report.

One of the major challenges and goals for this academic year was the initiation of our totally revamped PGY-2 year. In the new design, residents participated in a consolidated academic year of generalist training, split between inpatient and ambulatory components, in an enriched interprofessional setting. Longitudinal supervision was maintained to ensure progressive skill development in clinical interviewing, diagnostic and formulation skills, and

2009-2010 Department of Psychiatry Annual Report 14 in treatment modalities, while at the same time providing a variety of supervisors to each resident. Complementing core competency development in psychopharmacology, training in supportive and psychodynamic psychotherapies, as well as selective opportunities in individual/group CBT, IPT, and DBT is an available part of the training experience. By all accounts the pilot project was a resounding success that we look forward to repeating next year. Ongoing new goals include creating a formal educational rounds component to the year, and developing opportunities for training at the Windsor campus.

We continue to actively plan for Milestone 2 (M2P2), which involves the winding down of our site at South Street Hospital with relocation to the Victoria Hospital Campus. This move affects the Division of General Adult Psychiatry to a greater extent than the other divisions. We look forward to the greater geographic connectivity with our medical colleagues, as well as the enhanced clinical and academic opportunities that will arise by having the vast majority of our personnel and services concentrated at one site.

Building on existing research strengths in clinical outcomes, program evaluation, and neuroimaging, DGAP will endeavour to develop new clinical research programs in Psychopharmacology, and Neuropsychiatry/Psychosomatic Medicine, collaborating with other Divisions and Departments/Faculties, as the case may be.

The following is an overview of the division’s varied programs along with individual goals for the next academic year written in conjunction with the respective medical leaders:

London Health Sciences Centre - Based Services

Centralized Emergency Psychiatry Service (CEPS) Emergency assessments are conducted in the emergency room by a team consisting of psychiatrists, residents, and students, with nurse case managers. We work in collaboration with community partners including mental health agencies and family physicians in an effort to best serve our patients. Service Leader, Dr. Dan Lefcoe states, “We continue to provide 24/7 Emergency Consultative Service to physicians in Middlesex county. We are moving this year to an expanded resident presence in the ER, an expanding Crisis nurse availability and wait time evaluation procedures”. The latter comment is in reference to two Ministry sponsored Emergency Department “Pay for Results” Projects that we are engaged with.

Consultation-Liaison Service Consultation-liaison is a specialized service that deals with the overlap of physical health Consultation-Liaison is a specialized service that deals with the overlap of physical health and mental health care issues. The primary mandate is to provide timely psychiatric consultation to adult patients admitted to medical/surgical units at the University Hospital and Victoria Hospital sites. Accomplishments in the last year include successful implementation of: an outpatient consultation-liaison psychiatry service embedded within the London Regional Cancer program to serve the complex acute and chronic mental health needs of cancer patients, expansion of our service to consulting on geriatric patients in the UH ICU setting, general C-L outpatient clinic, a weekly didactic seminar series for C-L residents and medical students. Goals for the upcoming year include development of a Psychosomatic Medicine CME module, liaising with internal medicine to provide in-services to medical staff on accurate completion of MHA forms, developing care pathways for cancer populations with a high risk of mental health complications, expansion of the service to consulting on admitted medical/surgical patients bedded in the ER, ongoing service focus on education of psychiatric residents, off-service residents, medical students, and our medical colleagues.

2009-2010 Department of Psychiatry Annual Report 15

First Episode Mood and Anxiety Program (FEMAP) FEMAP provides both clinical treatment and clinical research for youth between the ages of 16 and 30 afflicted with the recent onset of dysfunction or distress due to depression and/or anxiety. According to its leader, Dr. Elizabeth Osuch, the overall goal of FEMAP is to create mental health care services and research for a population where the stakes are extremely high, to get youth back to optimal functioning while ensuring that they live are as symptom free as possible.

Goals for the next year include building the clinical services now that there are two additional psychiatrists at FEMAP (Drs. Kathryn Macdonald and Sarah Armstrong). We also wish to maintain our addictions therapist, who is currently only funded until October of 2010. The addition of this service has proven to be essential in the treatment of the youth population that comes for help at FEMAP.

There are several ongoing research projects that will move forward during the next year, including moving a number to publication. These include studies on the functional brain imaging of cognitively intact youth who engage in non-suicidal self-injury; functional imaging and neurocognitive assessment of the overlap between depression and frequent marijuana use; using fMRI to differentiate major depression from bipolar disorder; examining contributions to the stigma of mental illness for youth; and the implementation and evaluation of a novel health care delivery model for youth with mood and/or anxiety concerns. In addition, plans are afoot to submit a substantial operating grant application for our research during the spring or fall of 2010.

General Adult Ambulatory Mental Health Services (GAAMHS) The largest ambulatory service in the Division, GAAMHS provides a variety of outpatient based services for patients and their families in the London-Middlesex Country area. In keeping with the overarching principle of right patient, right service, right time, the General Adult Ambulatory Service will continue its primary focus on access to treatment and flow of patients from the three primary areas of referral inpatients, community and emergency department. Clinically the service will try to prevent barriers to treatment by maintaining broad based inclusion criteria. In addition to individual assessments and pharmacological treatment, group psychotherapy streams exist for CBT, DBT. GAAMHS also provides a full time day treatment program and groups to aid transition from hospital. GAAMHS will endeavor to expand its services in needed clinical areas, while seeking to create better linkages with other mental health services in the London area. Resident training is now well established within GAAMHS as well as providing undergraduate teaching.

Inpatient Services Crisis and short-term inpatient treatment for adults is the focus of this service of 68 beds presently located on two units at our South Street Hospital Site. The inpatient service provides care to adults who present with mental health difficulties that embrace the entire spectrum of mental illness such as mood disorders, suicidal behaviour, anxiety disorders, schizophrenia and other psychotic disorders, mental disorders of aging, concurrent substance abuse problems, and acute symptoms of distress related to family or personal crisis. It is also the site where much of our department’s educational and training activities take place. Under the medical leadership of Dr. Siva Devarajan, this year we started to implement the "Collaboration to Recovery" new model of care on our inpatient units. We look forward to the greater efficiencies of care, and more importantly, the greater continuity of care for patients once the model predicated on team-based, patient-centered care commences.

2009-2010 Department of Psychiatry Annual Report 16

Prevention & Early Intervention in Psychosis (PEPP) PEPP is a unique clinical academic program that is population based and community focused. The clinical framework of the program is structured around a modified assertive case management service in which the intensity of the treatment is guided by the patient’s needs, stage of the illness and needs of the family. In this program service, education and research are integrated so that individuals seeking treatment will also benefit from the new knowledge that is being generated.

Accomplishments July 2009 – June 2010: • With support from the LHSC Opportunities Fund, PEPP hired a client to research and write a manual for individuals with psychoses, on what to expect in hospital to helpful tips on resources in the community, budgeting and dealing with stigma. With additional support from the Fund, two part-time recovery support workers were hired.

• PEPP has registered as an Independent Learning Centre through the Ministry of Education, allowing PEPP clients to register for distance learning through PEPP.

• The program was successful in receiving a grant from AMOSO to implement and evaluate a First Episode Psychosis Home Assessment and Treatment Team.

• The PEPP clinical team met with the London Police Department to look at opportunities to work together to support individuals with early psychosis and legal contact.

• Several presentations have been made in schools on recognition and early intervention in first episode psychosis.

• PEPP was nominated for the Mental Health Champions Award at the annual Breakfast of Champions at the Convention Centre.

• There were 8 publications in Peer Reviewed journals.

• There are several industry sponsored clinical trials in progress.

New Goals for 2010 – 2011: • We plan to implement the Home Assessment and Treatment program.

• We have also applied for funding for a patient engagement project to utilize patient and family involvement to better inform planning for program innovation in order to respond to patient’s and families’ needs.

• An Art Show for PEPP patients and their families is planned for October, 2010.

• Several presentations from the Five Year Follow-Up Study will be made at the next International Association of Early Intervention in November/December this year.

• We will continue to focus our research on the relationship of the self-stigmatization process to recovery from serious mental illness as well as evaluate interventions to better help clients with psychotic disorders deal with stigma.

Traumatic Stress Service For patients who have experienced acts of violence, emotional, physical and/or sexual abuse, severe neglect, catastrophic events such as motor vehicle accidents, natural disasters, or war-related trauma, a phase-oriented approach utilizing individual and group

2009-2010 Department of Psychiatry Annual Report 17 therapies, along with tailored pharmacotherapy is offered. A second area of service is our assessment and treatment unit affiliated with clients referred from the Workplace Safety and Insurance Board (WSIB). Strong links exist between the service and our neuroimaging research program in trauma.

Urgent Consultation Service (UCS) The mandate of the UCS is to provide a timely response to patients in need of urgent ambulatory mental health assessment whether referred by family physicians, the Emergency Departments at LHSC, and SJHC Urgent Care Clinic. Service Leader, Dr. Dan Lefcoe, along with Dr. Charlie Chamberlaine work together with nurse case managers and trainees, seeing all new referrals within 72 hours of notification.

Goals over the next year are to further integrate Urgent assessments with the evolving General Adult Outpatient programs to improve efficiency and decrease wait times, and to establish our presence in new headquarters at Victoria Hospital.

St. Joseph’s Health Care - Based Services

Mental Health Consultation and Evaluation in Primary-care (MHCEP) MHCEP is a joint initiative, co-located at family practice sites, which provides collaborative primary-based care to clients in Middlesex County who are at risk of becoming increasingly ill. The MHCEP team responds to referrals from the sites’ primary care physicians for consultation, education or training. The preventative and on-site treatment interventions of MHCEP should avert clients’ need to access crisis, urgent, emergent or hospital admission, thereby building system capacity. The emphasis is on short-term care with individuals and families to promote accessibility and minimal wait time for the service. After years of leadership provided by Dr. David Haslam, this coming academic year the program will come under the direction of Dr. Robbie Campbell.

Operational Stress Injury (OSI) Clinic Located at the Parkwood Hospital site, the OSI Clinic is part of a national network of OSI outpatient clinics funded by Veterans Affairs Canada. The OSI clinic provides specialized mental health services to Veterans, Members of the Canadian Forces (Regular and Reserve), the Royal Canadian Mounted Police (RCMP) and their family with service related psychological/psychiatric illness. The specialized team of psychiatrists, psychologists, mental health nurses, social workers provides comprehensive assessment and treatment in collaboration with community providers. The clinic is also involved in education, outreach and research in the area of PTSD and other service related psychiatric illness.

Currently there are two psychiatrists, Dr. Don Richardson and Dr. David Haslam working predominantly with younger veterans and Dr. David Harris provides psychiatric consultation services to the older Korean and World War II veteran. Future goals include ongoing enhancement of research, enhancing services to the community through the Ontario Telemedicine Network (OTN) and developing training opportunity for psychiatry residents.

New and Returning Appointments

Dr. Kathryn Macdonald joined the Department of Psychiatry on January 1, 2010 and has a university appointment as a full time clinical academic at the rank of Associate Professor, Provost Stream. Her clinical work is in the First Episode Mood and Anxiety Disorders Program (FEMAP) at LHSC.

Dr. Macdonald received her BEd in January 1986 and an MA, Ed Psychology in 1990, both

2009-2010 Department of Psychiatry Annual Report 18 from McGill University. From 1989 to 1990, she completed a full time internship in Clinical Child Psychology at the Mortimer B. Davis Jewish General Hospital in Montreal. At McMaster University, Dr. Macdonald obtained an MD in 1993, completed a family medicine residency in 1995, a psychiatry residency in 1998, and a fellowship in Mood Disorders in 1999.

From 2000 to 2003, Dr. Macdonald was a part time faculty member in the Department of Psychiatry and Behavioural Neurosciences at McMaster University; and in late 2003, a full time faculty member. During this same time, Dr. Macdonald was a staff psychiatrist at St. Joseph’s Healthcare, Hamilton and also in the Child and Family Centre at the Hamilton Health Sciences, Chedoke Site, in the Mood Disorders program.

Dr. Macdonald has been very active in teaching and education, both at the undergrad and postgrad levels, as well as for post professional and CME activities. She has taken on roles such as coordinator, supervisor, presenter and reviewer for various aspects in education, and also has an interest in curriculum development. Dr. Macdonald has received several honors and awards, such as the Jack Cleghorn Excellence in Teaching Award and PAIRO Trust Fund Award, for her teaching and work in clinical education.

Dr. Macdonald is active in research activities in the area of first episode and early onset mood disorders and CBT for adolescents with depression and anxiety. She has received several related research grants, has many peer reviewed publications and has given many presentations at meetings. Dr. Macdonald is also active administratively with her work in educational leadership and coordinator roles at McMaster University and at the Hamilton hospitals.

Dr. Mark Watling joined our department in 2007 as a part time faculty member, but has become a full time clinical academic this year. The focus of his clinical role is in GAAMHS at LHSC-SSH, with particular interest in mood and anxiety disorders. Dr. Watling brings his expertise in Cognitive Behaviour Therapy to the CBT team in GAAMHS and provides a valuable educational experience for our trainees.

Dr. Watling obtained his undergraduate degree in Science in 1990, followed by his medical degree in 1994, both at Dalhousie University. He received his FRCPC designation in Psychiatry through Dalhousie in 1999. From July 1998 to June 1999, he completed several psychiatry electives at Dalhousie and also in Sydney, Australia.

In July 1999, Dr. Watling became a Staff Psychiatrist at the Nova Scotia Hospital, Dartmouth City Outpatient Department and was a member of the Supportive Community Outreach team. At this time, he was appointed as an Assistant Professor in the Department of Psychiatry at Dalhousie. From July- December 2000, he completed a clinical fellowship at the Anxiety Disorders Treatment and Research Centre at St. Joseph’s Hospital in Hamilton and since that time has worked at the Centre as a Psychiatrist. This appointment also included academic work as an Assistant Professor in Psychiatry at McMaster University.

Dr. Watling received several awards during his residency, and in May 2004 received an EPT Excellence in Teaching Award from the Psychiatry Residents' Association at McMaster. He has been active in teaching both at Dalhousie and McMaster and his research work has been as a co-investigator on clinical trials in the area of anxiety disorders. Dr. Watling has done some publishing and has given several talks on anxiety disorders as well as media presentations in the area of phobias.

Dr. Carla Garcia returned in July 2009 from her one-year training fellowship in Psycho- Oncology at Sloan-Kettering in New York City. Now not only do we now enjoy greater depth 2009-2010 Department of Psychiatry Annual Report 19 in our general medical consultation liaison service, but also the specialized consultation liaison service that Dr. Garcia has establishing with Oncology.

Although Dr. David Haslam has been a divisional member for a number of years, formerly in his role in Shared Care with Family Medicine as the leader of the MHCEP program, in June 2010 he transitioned to taking on the medical leadership of the LHSC based Traumatic Stress Program. Dr. Haslam will be working in the Core Trauma and WSIB subprograms, as well as providing consultative support to the OSI clinic at Parkwood Hospital.

Divisional Awards

While elsewhere in the report, awards given to Departmental members can be found; this year the Division initiated its own internal awards program. The awards were presented at the Departmental Awards Ceremony in June.

Undergraduate Educator of the Year – Dr. Praful Chandarana Postgraduate Educator of the Year – Dr. Dave Robinson Clinician of the Year – Dr. Sandra Northcott Researcher of the Year – Dr. Rahul Manchanda

Promotions

The division is proud to report the academic promotions and continuing appointments of the following individuals:

Dr. Siva Devarajan, granted a continuing appointment Dr. David Haslam, to Associate Professor and granted a continuing appointment Dr. Sandra Northcott, to Associate Professor and granted a continuing appointment

Division of Geriatric Psychiatry

“With the aging demographic, eldercare is becoming an increasingly important focus for mental health service delivery, aging related research, and training of physicians and other professionals with the right skill set”

Dr. Lisa Van Bussel

This past year marked a watershed moment for Geriatric Psychiatry in Canada as the Royal College of Physicians and Surgeons of Canada accepted the application for a formal subspecialty program in Geriatric Psychiatry. The advancement acknowledges the specialized knowledge and contributions that geriatric psychiatrists play in the advancement of research, education, and psychiatric care of older adults. It heightens the importance of the entire specialty of geriatric mental health and of the specialized interdisciplinary health

2009-2010 Department of Psychiatry Annual Report 20 care professionals, educators and researchers. The Division of Geriatric Psychiatry exemplifies this excellence through our continued contributions to our community through our academic, educational and clinical service achievements. This year’s annual report highlights these achievements and sets the stage for further development, readying our members and partners for our move to a Royal College subspecialty.

AWARDS and ACKNOWLEDGEMENTS Many of our Division members were acknowledged by others for their contributions. Below are the highlights over this past year.

Dr. Heisel received a Poster Presentation Certificate of Excellence at the 2009 International Psychogeriatric Association Congress, Montreal, Quebec (September, 2009).

Dr. Jennifer Oates joined the Division on July 1st, 2009, taking up duties with the LHSC Geriatric Mental Health Program. We look forward to her energy and participation in the Division.

Dr. L. Van Bussel was nominated for the 2010 Champion of Mental Health Award. The winner, Paul Cook, Principal of Aberdeen Public School, was announced at the May 6 Breakfast of Champions. While not selected this year, Dr. Van Bussel’s nomination remains active for three years.

Dr. Maggie Gibson has accepted an invitation to join the Alzheimer Society of Canada “Guidelines for Care” Working Group, which is addressing care of people with dementia living in nursing home facilities.

Dr. Amer Burhan received the 2009/2010 Outstanding Achievement Award for best rated supervisor in Geriatric Psychiatry, Psychiatry Residency Program, Schulich School of Medicine and Dentistry, UWO.

The Division of Geriatric Psychiatry developed the David Harris Award to recognize the resident trainee who best fulfills and encompasses the pillars of excellence in the care of older adults with mental health illnesses. The 2010 recipient was Dr. Aziz Haque, PGY-4 Resident.

We welcomed new resident representatives Dr. Aziz Haque (PGY-3) and Dr. Juliana Li (PGY-3) to the Division. They have been attending Division Meetings, providing insight from the resident point of view.

At LHSC, Patrick Fleming, social worker with the Geriatric Mental Health Program at South Street Hospital, received the inaugural Brian Young Award from London Police Services, in recognition of his work with Project S.E.N.I.O.R. - Stop Elder Neglect and Abuse in Our Region (2010).

RESEARCH: Advancing our knowledge and understanding of elderly individuals at risk or suffering from mental illness continues to be a key focus of the Division of Geriatric Psychiatry. Dr. Marnin Heisel, Basic Scientist and an expert on suicide prevention among older adults, has published extensively in this area. In addition, he has worked diligently with the Canadian Coalition of Senior’s Mental Health to develop toolkits for health care professionals, and more recently developed information guides for family members. Dr. Amer Burhan continues to expand his research initiatives in areas of functional MRI studies on the interaction between emotions and attention in early stages of cognitive impairment in older adults,

2009-2010 Department of Psychiatry Annual Report 21 therapeutic applications of rTMS in neuropsychiatric disorders, and profiling neuropsychiatric symptoms in early stages of cognitive impairment in older adults. Division members Dr. Maggie Gibson and Dr. Iris Gutmanis have collaborated extensively with research partners on the psychosocial needs of at-risk elderly. Program evaluation and advancement of knowledge translation of patient and safety data has been led at SJHC and RMHC-L by Dr. Ed Black, with Tom Ross, Tony O’Regan and Jennifer Doherty.

EDUCATION: Residency Training There are changes coming up in 2010-11 in postgraduate education, with the recently approved subspecialty status of Geriatric Psychiatry. As of July 2010 residents will be able to opt for six months, as is done in Child and Adolescent Psychiatry. There is now an opportunity to have a minor in Geriatric Psychiatry. Delirium and Dementia are becoming part of the curriculum. We anticipate that there will be further direction coming from the Royal College.

The Division of Geriatric Psychiatry will welcome three PGY-3 residents in January for their six block of required geriatric psychiatry. The six-block requirement is new for all residents entering the residency in July 2008 or after. The residents will be doing both inpatient and outpatient psychiatry. Also, the geriatric psychiatry teaching curriculum has been increased to thirty hours, which will occur in the spring of each academic year. Eleven residents completed rotations with the Division of Geriatric Psychiatry for the 2009/2010 academic year.

There will be two “Care of the Elderly” Family Medicine residents completing two blocks each of geriatric psychiatry, and a Geriatric Medicine fellow will complete a two-block rotation in the fall or winter.

We are preparing for the new PGY-6 year in geriatric psychiatry. The PGY-6 year was approved as a subspecialization year by the Royal College. Currently there is work underway with UWO and the Ministry of Health to secure funding for the positions.

This is a very exciting time for geriatric psychiatry and thank you to the contributions of many who have made all the changes possible and to Dr. Michele Doering for leading the Geriatric Postgraduate changes.

Undergraduate Medical Education The Geriatric Psychiatry Day for the third year clinical clerks went well in 2009/2010. A total of 120 students went through the program. The day consisted of two lectures in the morning and was highly rated by the clerks. Although there will not be a Geriatric Psychiatry Day for clerks next year, these two lectures will be continued in a new curriculum next year. The clinical exposure component, which took place in the afternoon, will no longer be required, due to changes in the curriculum. The overall feedback of the program has been positive, a result of the excellent geriatric psychiatry teamwork. A total of seven medical students went through a two to four-week rotation with the geriatric psychiatrists (four students with Dr. N. Laporte, three students with Dr. A. Burhan) at RMHC-London. These students were from Canadian and various international universities.

Dr. Lisa Van Bussel and Dr. Laura Diachun are continuing to work on their AMOSO funded Undergraduate Medical Education Eldercare Curriculum Renewal Project.

2009-2010 Department of Psychiatry Annual Report 22

Continuing Professional Development and Interprofessional Education

Many of our Division members contribute to the education and development of trainees and health care providers from many disciplines; in particular Dr. Ed Black and Tom Ross, who have provided many hours of workshops and in-service training to nursing and medical students and psychology residents. Faculty members Iris Gutmanis and Maggie Gibson are frequent supervisors for graduate students from Western, in particular from the Faculty of Health Sciences.

On November 4, 2009 the Division of Geriatric Psychiatry hosted our Seventh Annual Symposium, ”Beyond the Building Blocks of Geriatric Psychiatry - The Elephant in the Room: Facing Up to Critical Issues”. This full day event was held at the Lamplighter Inn, London. The day was another great success, with 130 in attendance representing a range of health care professionals. Attendees from across Ontario were a good indicator of the wide-reaching appeal of the program and speakers. Keynote speaker Dr. David Conn, President of the Canadian Academy of Geriatric Psychiatry, spoke on “Mental Health Issues in Long Term Care Homes”. Plenary speaker Judith Wahl, Executive Director of the Advocacy Centre for the Elderly, spoke on “Sexuality in Long Term Care – Legal and Ethical Issues”. Workshops on topics pertaining to geriatric patient care, included Capacity Assessment, PRNs – What to Use and How to Choose, Motivational Interviewing and Concurrent Disorders, The Death of an Adult Child: How it Impacts on the Mental Health and Well Being of the Older Parent, Health Care Consent and Advance Care Planning, and an Overview of ECT. In addition, seven posters were submitted to our third annual poster session, with entries in Research and Program Evaluation categories.

Planning continues for the 2010 Geriatric Psychiatry Symposium, to be held on Wednesday, November 3, 2010. This year “Beyond the Building Blocks of Geriatric Psychiatry - Sharing the Wisdom by Opening Doors” will feature plenary speaker Dr. Ron Keren, who will present on Pseudodementia. The second plenary is Darcy Harris, speaking on “Navigating Loss and Transition”. A number of workshops on topics relevant to the care of the elderly will round out the day.

Dr. Iris Gutmanis and Laurie McKellar presented “Why is delirium a patient safety issue” at the “2010 Southwestern Ontario Patient Safety Summit: Small Successes – Big Impact” held on April 15th at the Lamplighter Inn, London.

Geriatric Medicine Refresher Day: “Elder Safety: A Practical Approach” was on Wednesday, May 5, 2010 at the London Convention Centre. “Shattered Years”, a play that examines elder abuse, was performed by Theatre Provocateur. Patrick Fleming led workshops on “Elder Abuse: Break the Silence”. As well, Ann Jarvie (Clinical Nurse Specialist, SJHC) and Kristine Towers (Social Worker, SJHC) spoke on “Suicide Assessment and Prevention in Older Adults”, and Ed Black and Tom Ross presented “Patient Safety: From Data to Client Centred Care Planning”.

Dr. Amer Burhan presented “TMS: An Overview” at the annual ECT workshop, RMHC- London on February 9th, 2010 and “Fronto-temporal Dementia and Pick’s Disease” at the Alzheimer’s Society Algoma District Chapter Conference in Sault Ste. Marie on March 16, 2010.

On January 25, 2010 Dr. Burhan presented “Neuropsychiatry of Dementia” at the RMHC- London city-wide CME. On February 16, Dr. Edward Coffey, geriatric neuropsychiatrist from Wayne State University, was a guest at the RMHC-London ECT workshop.

2009-2010 Department of Psychiatry Annual Report 23

Clinical Services Development The “Seniors and Delirium: Knowledge Transfer and Exchange Think Tank and Consensus Conference” was held in London on January 29th, 2010. This Think Tank was funded through a successful Academic Medical Organization of Southwestern Ontario (AMOSO) Opportunities Fund grant. Experts in the fields of health care education, inter-professional care, geriatric medicine, psychiatry, surgery (general, orthopedic and cardiac), internal medicine, emergency medicine, and critical care medicine engaged in small group discussions on delirium prevention, identification and management. The goal of the conference was to develop an approach to knowledge transfer/exchange in the area of delirium. Conference organizers were Division of Geriatric Psychiatry members Dr. Iris Gutmanis, Dr. Lisa Van Bussel, Kelly Simpson, and Dr. Sheri-Lynn Kane (Geriatric Medicine). In addition to seventeen key local medical experts and health care leaders, two provincial experts, Dr. Sharon Strauss (Toronto General Research Institute), and Dr. Jacques Lee (Sunnybrook Research Centre) presented. The group will use the information from the conference and group discussions to develop future project directions. Building on the momentum created through this conference, Laurie McKellar and Dr. Iris Gutmanis discussed “Why is Delirium a Safety Issue” at the Patient Safety Summit on April 15th. In addition, conference findings were discussed at the Psychiatry Clinical Chairs meeting in March 2010.

Dr. Lisa Van Bussel participated in the Southwest LHIN steering committee on “Best Levels of Care and Quality”, focusing on Aging at Home Initiatives. In November a project group was formed to work with the SW LHIN to develop an initiative for the enhancement of a community psychogeriatric team focusing on the management of behavioural disturbances. The submission was successful for base funding and the enhanced psychogeriatric services will be able to respond to seniors suffering from mental health illnesses and dementia. A project coordinator is working with existing partners to implement this. The proposal has been submitted, and has been well received. The Division acknowledges the significant time and effort of division members Lisa Van Bussel, Iris Gutmanis, and Bonnie Kotnik in the development of this project.

Division Membership:

Associate Professor & Chair Lisa Van Bussel

Professor Emeritus David Harris

Associate Professors Michele Doering

Assistant Professors Amer Burhan, Marnin Heisel, Noel Laporte, Jennifer Oates, Hae-Ryun Park, Akshaya Vasudev

Adjunct Faculty John Feightner, Michael Fisman, Jennifer Fogarty, David Trenker

Affiliate Members Ed Black, Michael Borrie, Laura Diachun, Jennifer Doherty, Maggie Gibson, Iris Gutmanis, Ann Jarview, Bonnie Kotnik,Tony O’Regan, Tom Ross

2009-2010 Department of Psychiatry Annual Report 24

Division of Neuropsychiatry - Leadership in Neuroscience Research

“The challenge of our time is not to discover a gene for a particular neuropsychiatric disorder but to understand the final common pathway of the disorder with advanced brain imaging techniques.”

Dr. Peter Williamson

The Division of Neuropsychiatry was created in 2001 to provide academic leadership in neuroscience research within the Department of Psychiatry. It provides a home for basic science researchers within the Department and facilitates more effective collaboration with clinical research groups. It enhances collaboration between imaging researchers at the Robarts Research Institute, the Lawson Health Research Institute and these clinical research groups. Finally, it allows the development of advanced training opportunities within the department at a fellowship, MSc, PhD and postdoctoral level through collaboration with the Department of Medical Biophysics and Anatomy and Cell Biology and the Neuroscience Graduate Program. The division also contributes to clinical service provision through a consultation role with the Department of Clinical Neurological Sciences and with the Acquired Brain Injury program at Parkwood Hospital.

Research Accomplishments

The Neuropsychiatry Division pursues work in the pathophysiology of schizophrenia, mood and anxiety disorders, posttraumatic stress disorders and autism from a clinical, neuropsychological, basic science and neuroimaging perspective.

Schizophrenia: The Schizophrenia Group lead by Dr. Williamson, the Tanna Schulich Chair in Neuroscience and Mental Health, has been pursuing magnetic resonance spectroscopy and functional magnetic resonance imaging studies in schizophrenia. This work has been done in collaboration with Dr. Rahul Manchanda and the PEPP program, Dr. Dick Drost (now retired), Dr. Ravi Menon and Dr. Jean Théberge. The work has been supported by a five year grant from the Canadian Institutes of Health Research.

London is one of the few places in the world where first episode patients can be recruited in the drug-naive state and followed over several years. A longitudinal study assessed never- treated, first episode schizophrenic patients with magnetic resonance spectroscopy (MRS), a brain imaging technique which measures neurotransmitters and membrane phospholipids. The analysis of a longitudinal 1H MRS study following patients during the first six years of illness has now been completed. Progressive changes in brain metabolites associated with neurodegeneration were found in two brain regions thought to be involved in the disorder. A striking correlation between changes in these brain metabolites and loss of gray matter was

2009-2010 Department of Psychiatry Annual Report 25 found in the temporal poles. The temporal poles are highly developed in humans and associated with concept formation and socially appropriate behaviour. Progressive changes in these metabolites in the brains of schizophrenic patients may explain why they demonstrate difficulties with thinking and socially inappropriate behaviour. Figure 1 shows regions demonstrating gray matter loss over the first six years of illness in patients with schizophrenia.

Figure 1: Regions showing loss of gray matter in the first six years of illness

Schizophrenia was originally called dementia praecox by Kraepelin. By this he meant that it was a degenerative disease like Alzheimer’s disease. Our observation of progressive changes in glutamatergic metabolites with 1H MRS would be in keeping with such a process but the nature of this process has been controversial. One of the ways to determine whether there is a degenerative process in this disorder is to study changes in membrane phospholipids in the early years of illness with 31P MRS. The first longitudinal 31P MRS study in schizophrenia has just been completed which has provided some important insights into the nature of this disorder. Increased membrane breakdown early in the illness in brain regions associated with high levels of glutamatergic metabolites were observed. As glutamate is potentially excitotoxic, the presence of membrane breakdown products in the same regions supports an excitotoxic process. Interestingly as the patients were tracked over time, it was found that regions associated with progressive gray matter loss had increased membrane breakdown as well suggesting a widespread degenerative process which is not being targeted by current treatments.

One of the puzzling questions to arise from these studies was how changes in metabolites and brain structure in these patients could lead to changes in self-perception. These patients often feel like someone is putting thoughts into their heads or controlling their actions. Our group was the first to report anomalies in a brain network associated with self-

2009-2010 Department of Psychiatry Annual Report 26 reflection called the ‘default mode’ network in these patients. This year we have published further studies suggesting that this network is essentially ‘off-line’ in these patients much of the time. As the default network overlaps many of the brain regions where we saw metabolic and structural changes, it is likely that these anomalies lead to an inability to correctly label brain activity as being internally or externally produced.

Dr. Williamson has completed a second book for Oxford University Press scheduled for publication in January 2011 entitled The Human Illnesses: Neuropsychiatric Disorders and the Nature of the Human Brain with Dr. John Allman, an evolutionary biologist at the California Institute of Technology. The idea behind this book is that disorders like schizophrenia, bipolar disorders and autism are uniquely human disorders. Understanding the findings in these disorders also tells us a lot about what makes us human. Dr. Williamson and Dr. Allman have developed a model of brain regions affected by these disorders which can be tested using some of the techniques which we are currently implementing at the University of Western Ontario.

Mood and Anxiety Disorders: The Mood and Anxiety Disorders group is lead by Dr. Beth Osuch, the Rea Chair in Mood and Anxiety Disorders. Over the last year Dr. Osuch has published some important work on the reward network in depressed patients in NeuroReport. Using an innovative music listening paradigm, Dr. Osuch demonstrated anomalies in this network in depressed patients providing important insights into the pathophysiology of this disorder. Dr. Osuch’s work is supported by a grant from the Ontario Mental Health Foundation.

It is important to determine whether the anomalies that we are seeing in schizophrenic patients are specific to schizophrenia. Much of the last year has been spent developing paradigms with the new 7T MRI system at Robarts Research Institute to study brain metabolites throughout the brain with 3D Chemical Shift Imaging. Previously we could only study two regions which would not allow us to determine the differences in brain regions affected by other disorders such as bipolar disorders. As part of the Canadian Institutes of Health Research study we will be examining these patients in the coming year in collaboration with Beth Osuch.

In the last year we have also published on findings in the default mode network in first episode bipolar depressed patients in Psychiatry and Clinical Neuroscience. As expected these patients demonstrated a different pattern from the schizophrenic patients related to the involvement of mood processing regions of the brain. In the next year we will be looking at how these differences in the default mode network relate to structural measures of brain connectivity with diffusion tensor imaging.

Dr. Derek Mitchell has been pursuing a number of innovative studies on the role of attention in emotional processing which have been published in high impact journals such as the Journal of Neuroscience and NeuroImage. He is also developing a potentially important study to distinguish unipolar from bipolar depressed patients on the basis of resting networks and brain imaging responses to emotional paradigms.

Posttraumatic Stress Disorders: The Posttraumatic Stress Disorders Group is led by Dr. Ruth Lanius who holds the Harris-Woodman Chair in Psyche and Soma. Dr. Lanius’s has been looking at brain circuitry associated with posttaumatic stress disorders supported by a grant from the Canadian Institutes of Health Research. In the last year Dr. Lanius has obtained another grant from Canadian Institutes of Health Research to examine memory processing in patients with posttraumatic stress disorders. She has also been examining changes in the default mode network in patients with posttraumatic stress disorders leading the first publications on resting network anomalies in these patients. In work published this 2009-2010 Department of Psychiatry Annual Report 27 year, anomalies in the default network soon after exposure to trauma predicted the onset of posttraumatic symptoms suggesting a possible use in identifying patients at risk.

Dr. Lanius is the co-editor of The Impact of Early Life Trauma on Health and Disease to be published by Cambridge University Press in 2010 and has been a keynote speaker at international meetings in Boston, Washington, D.C., Bielefeld, Germany and Oslo, Norway. Her paper the dissociative subtype of PTSD will be the lead article in the June, 2010 issue of the American Journal of Psychiatry.

Dr. Paul Frewen has been working with Dr. Lanius to develop some unique paradigms to study emotional awareness in patients with posttraumatic stress disorders. Some of this work has been published in highly recognized journals such as the Journal of Abnormal Psychology and Psychosomatic Medicine. He has also been writing a textbook on posttraumatic stress disorders for W.W. Norton with Dr. Lanius

Autism: Dr. Nicolson, the Endowed Chair in Autism Studies, has brought together the Autism Centre of Excellence with a substantial grant from the Government of Ontario Dr. Nicolson has been looking at the brain circuitry associated with autism supported by a Canadian Institutes of Health Research grant. Findings from this brain imaging study have implicated many brain regions associated with unique human capabilities like ‘theory of mind’ or the ability to perceive the intentions and feelings of others. In association with Dr. Paul Thompson at the University of California at Los Angeles numerous brain imaging studies in Biological Psychiatry and other high impact journals have been published. These publications have confirmed volumetric and magnetic resonance spectroscopy anomalies in these patients impacting different parts of the brain than in schizophrenia or mood and anxiety disorders.

Basic Science: Basic science investigations including genomic and proteomic studies of antipsychotic medications led by Dr. Walter Rushlow and an animal model of schizophrenia led by Dr. Raj Rajakumar are supported by the Ontario Mental Health Foundation and the National Science & Engineering Research Council. Dr. Rushlow’s novel ideas about second messenger effects of antipsychotic medications have been published in the Neuroscience and the Journal of Neurochemistry. Dr. Rajakumar’s animal model of schizophrenia, published in Schizophrenia Bulletin, explores the effects of subplate lesions in rats. While the rats were normal during early development, they subsequently developed abnormalities in prepulse inhibition and dopaminergic hyperresponsivity typical of patients with schizophrenia. This is a very powerful model which is consistent with the brain imaging findings with magnetic resonance spectroscopy. It is of note that Dr. Rajakumar was invited to present his work at Harvard University. More recently Dr. Rajakumar has been working on a new animal model of autism based on the foxp2 gene with Dr. Nicolson and a number of other investigators at Western.

Educational Accomplishments Dr. Williamson has developed a unique approach to postgraduate training. Over several years, he has co-supervised MSc and PhD students with Dr. Dick Drost, Dr. Jean Théberge and Dr. Terry Thompson. With this approach, students develop a unique skill set in neurophysiology, neuroanatomy, clinical neuropsychiatry, medical biophysics and the application of brain imaging techniques. Graduates have gone on to faculty positions at Harvard, Pittsburgh and Wayne State. In the last year Jodi Miller has successfully defended her PhD and has gone on to a postdoctoral position. Dr. Williamson continues to co- supervise two PhD students and a postdoctoral student. Dr. Williamson also hosted a visiting PhD student from the University of Aarhus, Denmark in October, 2009.

2009-2010 Department of Psychiatry Annual Report 28

Dr. Lanius has been supervising a postdoctoral fellow from Germany and also supervised a visiting resident from the University of Saskatoon. Dr. Mitchell has been very active with graduate training. He currently supervises four MSc students and Ms. Jayna Amting completed her MSc last year under his supervision. Dr. Rushlow is the Associate Chair for Graduate Studies in the Department of Anatomy and Cell Biology and currently supervises three PhD students. Dr. Rajakumar currently supervises two students in the Neuroscience Program and Anatomy and Cell Biology.

Selected International Activities of Division Members

Dr. Peter Williamson:

Member, Advisory Board, Acta Psychiatrica Scandinavica, 2003 - present. Member, Scientific Committee, The Default Mode Network in Health and Disease, Barcelona, Spain, June, 2010. Member, 1000 Connectomes Project, a data sharing network of centres across Canada, United States, Europe and China led by Dr. Bharat Biswal, New Jersey Medical School, aimed at understanding basic brain networks involved in cognitive processing and neuropsychiatric illness (www.nitrc.org), 2009 – present. See PNAS paper below. Member, External Advisory Committee, National Institute of Health Centre of Biomedical Research Excellence (COBRE) Group, MIND Institute and the University of New Mexico, Albuquerque, N.M., U.S.A., 2009 – present. Consultant, Development of Neuropsychiatric Research Centre, University of South Dakota, Vermillion, S.D., U.S.A. Invited Speaker, International Congress on the Default Network and Other Intrinsic Networks in Health and Disease, Barcelona, Spain, 2010. Reviewer, 2009: Human Brain Mapping, British Journal of Psychiatry, American Journal of Psychiatry, Archives of General Psychiatry, Schizophrenia Bulletin, Canadian Journal of Psychiatry, Acta Psychiatrica Scandinavica.

Dr. Ruth Lanius:

Panel Member, NIH, Biobehaviour Mechanisms of Emotion, Stress, and Health Study Section, 2008-2011. Keynote Speaker, Healing the Mind, Body and Soul Forum, Washington, D.C., 2009. Keynote Speaker, 2nd International Conference on Psychogenic Movement Disorders and Other Conversion Disorders, Washington, D.C., 2009. Keynote Speaker: German Society for the Study of Traumatology, Bielefeld, Germany, 2009. Keynote Speaker, 11th European Conference on Traumatic Stress, Oslo, Norway, 2010. Reviewer 2009: Human Brain Mapping, NeuroImage, Journal of Traumatic Stress, Journal of Abnormal Psychology, American Journal of Psychiatry, Archives of General Psychiatry, Journal of Psychiatry, Acta Psychiatrica Scandinavica.

Dr. Derek Mitchell:

Panel Member, National Science Foundation, U.S.A. Reviewer: NeuroImage, Archives of General Psychiatry, The Lancet, Biological Psychiatry, Wellcome Trust, U.K., Neuropsychologia, Neuroscience Letters.

2009-2010 Department of Psychiatry Annual Report 29

Media Interviews

1. Science News, Washington, D.C. Tiny Saey, July 2009.

2. Globe and Mail, Toronto, Anne McIloy, January 2010.

3. Scientific American Mind, New York, N.Y., Josie Glausiusz, January 2010.

4. London Free Press, London, Ontario, John Miner, February, 2010.

Division of Social and Rural Psychiatry

“The Division of Social and Rural Psychiatry continues to develop, study, teach, provide and advocate for mental health care that addresses the needs of disenfranchised individuals and populations as well as their communities, using approaches ranging from the clinical through the systemic to arts and humanities and beyond”

Dr. Abraham (Rami) Rudnick

Background: The Division of Social and Rural Psychiatry provides an academic home for specialized tertiary mental health, for the extended UWO psychiatry campus in South Western and Northern Ontario and for rural and regional psychiatry. We continue to be a leader in North America in relation to our service and academic mandate for under serviced geographical regions and under serviced individuals and populations who have severe and persistent mental illnesses.

An Advisory Board for the Division, with an interdisciplinary representation, met regularly to advise the Chair. It includes membership from the Department of Psychiatry, other departments at the Schulich School of Medicine and Dentistry and other faculties at UWO – the Faculty of Health Sciences, the Faculty of Social Sciences and the Faculty of Art and Humanities. The advisory board also has membership representing UWO trainees and service users of mental health care.

Education

Dr. Sarah Jarmain, Education Coordinator for the Division, led the development and implementation of the tertiary Mental Health Care training experiences for residents, as required by the new Royal College training guidelines. Dr. Diane Eastwood, a passionate advocate for the recovery oriented approach regarding people with schizophrenia, has coordinated the new longitudinal experience of the PGY2 residents in relation to individuals with serious mental illnesses.

2009-2010 Department of Psychiatry Annual Report 30

The Division has established a visiting scholarship with the inaugural visit in September 2009 of the internationally renowned Social Psychiatrist, Dr. Julian Leff, who was appointed Honorary Professor of the Division and the Department starting 2010. The visiting scholar week consisted of various presentations and workshops that were conducted by Dr. Leff, both at UWO and at its affiliate RMHC, and which received very positive reviews. Part of that visiting scholar week consisted of a conference focused on immigration and mental health, where speakers from the University of Toronto as well as from RMHC presented, in addition to Dr. Leff.

A Divisional Seminar was initiated. The first seminar addressed aboriginal mental health. Further seminars are in planning. Other educational events included regular participation for Psychiatrists, other health care professionals, undergraduate and postgraduate trainees in the Department of Psychiatry, in Continuing Professional Development events. Videoconferencing connection for these events was accessed from Sudbury Regional Hospital, Northeast Mental Health Centre – North Campus, Lakehead Psychiatric Hospital in Thunder Bay, St. Joseph’s Health Centre – Thunder Bay, Thunder Bay Regional Health Sciences Centre, Sault Area Hospitals in Sault Ste. Marie, London Health Sciences Centre and Regional Mental Health Care in London and St Thomas.

Dr. Priya Subramanian completed her clinical-research fellowship in psychiatric rehabilitation in the Division and joined the Division and the Department as a full-time clinical academic. She was certified soon after completion of her fellowship as a Certified Psychiatric Rehabilitation Practitioner (CPRP) by the United States Psychiatric Rehabilitation Association (USPRA).

Research and Development

Research in the Division continues to grow. For example, Dr. Cheryl Forchuk, with other members of the Division, received funding from CIHR, MHCC, OMHF and SSHRC for research on poverty and mental health and on homeless youth and mental health. Dr. Giuseppe Guiana received mini-fellowship funding from the Schulich School of Medicine and Dentistry for training in advanced CBT so as to enhance practice, teaching and research in relation to CBT for people with serious mental illness. Various members of the Division presented in local, provincial, national and international conferences and published in peer reviewed and other academic and professional venues.

The Extended Campus Program (ECP)

The Extended Campus Program (ECP) is a well established Northern Ontario outreach initiative of the Department of Psychiatry at UWO. The ECP has continued administrative and academic support to a group of 14 UWO faculty members who provide full time clinical and academic services in Thunder Bay, North Bay, Sudbury and Sault Saint Marie. The ECP annual retreat was held in March 2010, with attendance in person and by televideo from both local and Northern sites. A key topic for the retreat was legal aspects of telepsychiatry, presented by Dr. Richard O’Reilly. Dr. Robert Swenson, director of the Ontario Psychiatric Outreach Programs (OPOP), with which ECP is affiliated, presented at the retreat on OPOP’s recent study of mental health services to remote communities in Northern Ontario.

The North of Superior Program (NOSP), another component of the ECP which provides psychiatric service and education outreach to remote communities in Northwestern Ontario, continued to be active, sustaining consultation visits to these remote communities, including Nipigon, Schreiber, Marathon, Manitouwadge, Geraldton and Longlac. In addition to the site

2009-2010 Department of Psychiatry Annual Report 31 visits, videoconferencing psychiatric services (telepsychiatry) to the North of Superior Program sites were conducted. Plans are underway to increase telepsychiatry to NOSP sites.

Psychiatric consultations to Thunder Bay and Owen Sound through videoconferencing from Regional Mental Health Care London continued.

The Southwestern Ontario Medical Education Network (SWOMEN)

Dr. Corina Velehorschi and Dr. Tamison Doey continued in their positions as Academic Director for Undergraduate and Postgraduate Psychiatric education in Windsor. Dr. Doey also continued to coordinate and develop child and adolescent psychiatry training in Windsor. Dr. Ranjith Chandrasena continued in his position as Psychiatric Academic Director of SWOMEN – Rural, which includes Regional Mental Health Care St. Thomas, Chatham – Kent Health Alliances, Stratford General Hospital and Blue Water Health, Sarnia. Feedback from psychiatric trainees about SWOMEN continued to be very positive.

Education in the Department of Psychiatry

Educating and Training our Future Psychiatrists

Delivering a high quality educational program for our undergraduate medical students and students from allied health disciplines, as well as our postgraduate trainees, has been a central direction in the strategic plan of the Department of Psychiatry. In addition, we have strongly invested in our program of Continuing Professional Development, recognizing the importance of life long learning opportunities.

Over the past year, an educational task group has continued to work on a clear definition of educational deliverables for teaching faculty, ensuring that we deliver on all aspects of the educational mandate. This has resulted in clear educational deliverables for our Alternative Funding to physicians and Merit Based Recognition.

The success of our education enterprise is in large measure a tribute to our educational leaders and the administrative support that they receive from Eva Adams, Heather Deisley, Glenda Shilleto and Suzena Mendes in the Department of Psychiatry. This group is a key educational resource, and together they ensure that all educational activities run smoothly.

Psychiatry has long thrived with the delivery of care by several allied healthy disciplines. In order to practice this way, it is essential that we prepare our students through interdisciplinary educational approaches. We are excited as interdisciplinary education becomes the standard in other areas of medicine, and as we train physicians for future practice.

Our Educational Leaders

Postgraduate Education:

Director: Dr. Michele Doering Portfolio Leads: CaRMS and PGY Dr. Christopher Tidd Evaluation Dr. Kathryn MacDonald

2009-2010 Department of Psychiatry Annual Report 32

Scholarship & Curriculum Dr. Greg McCarthy Psychotherapy Training Drs. Sandra Fisman and Michele Doering

Undergraduate Education:

Director: Dr. Raj Harricharan Clerkship Co-ordinator Dr. Sandra Northcott

Continuing Medical Education/Continuing Professional Development:

Director: Dr. Varinder Dua Assistant Director: Joel Lamoure

Much appreciation to all who contribute so actively to our education committees:

Resident Advisory Committee

(Executive) M. Doering (Chair) S. Fisman G. McCarthy M. Ngo C. Tidd J. Tiffney K. MacDonald E. Adams

(Advisory) M. Doering (Chair) V. Dua C. Tidd T. Doey Z. Grynspan J. Reiss T. Jacob-Goldman J. Barr R. Bodani L. Ritchie P. Hall K. MacDonald M. Ngo R. Owen R. Harrichan G. McCarthy J. Tiffney

UGE Committee

R. Harricharan (Chair) H. Deisley (Administrative Support) M. Ngo (Chief Resident) C. Garcia L. Ritchie & Z. Grynspan (Senior Residents) B. Loveday R. Chandrasena (Chatham) S. Northcott A. Akinlosotu (Windsor) H. Park J. Villela (Windsor) H. Siemarczuk T. Doey (Windsor) M. Watling Y. Rybak (St. Thomas)

Exofficio: Student Representatives: S. Fisman Allanah Li, Meds 2012 M. Doering Mara Smith, Meds 2012

CME/CPD Committee

V. Dua G. Shilleto J. Lamoure T. Jacob-Goldman M. McDonagh N. Rizvi J. Reiss A. Haque S. Dunbar, B. Surti 2009-2010 Department of Psychiatry Annual Report 33

Postgraduate Education in the Department of Psychiatry

With an established interprofessional model of care and a cadre of outstanding educators, the Department of Psychiatry leads in the field of interprofessional education at the Schulich School of Medicine & Dentistry.

Dr. Michele Doering

Postgraduate Education has continued to be an active focus in our department over the past academic year. With the implementation by July 2009 of the mandated changes by the Royal College in the training requirements for Postgraduate Education, it was felt to be important to have an external “lens” on our mid-term internal program review to validate the changes.

Dr. Kathryn Gillis was the external reviewer, along with Dr. Simon Levine and Karin Winston, PGY3, a trainee in Pediatrics, who reviewed the training program in March 2010. The program received a very favourable review and assurance that the required training guidelines were now all in place. The reviewers did recommend some major administrative restructuring based on the unwieldy size of the Residency Training Committee and the administrative overload on the Program Director. In addition, the reviewers recommended an affirmative approach to resident participation in research and/or a Quality Improvement (QI)/Quality Assurance (QA) initiative.

In the course of the 2009 academic year, the administrative structure for Postgraduate Education in Psychiatry was completely restructured. An Executive Residency Training Committee (RTC) was formed and this consists of the Program Director (Chair of the Committee), four portfolio leaders, the Chief Resident and the elected resident who is President of the Resident Association.

The portfolios include CaRMS & PGY1, Evaluation, Psychotherapy Training & Academic Activities. This group meets monthly and includes the PGE Program Administrator. The former large Residency Training Committee has assumed an advisory role, is known as the Resident Advisory Committee (RAC) and meets quarterly chaired by the Program Director. The Program Director continues to maintain communication with the resident group through monthly Resident Business Meetings.

Drs. Kamini Vasudev and Ross Norman have taken the lead for the Research/QI/QA project requirement for all trainees. PGY1 trainees who will enter the program in July 2010, will pilot this requirement with the goal of completing the project within a year.

I would like to express my appreciation to the pioneering portfolio leaders: Dr. Kathryn Macdonald, Evaluation, and Dr. Greg McCarthy, Academic Activities, who agreed to take on these roles for September 2010. Dr. Chris Tidd continues to lead the CaRMS and PGY1 process within his portfolio and also the Resident Safety Committee and the Emergency Psychiatry experience.

2009-2010 Department of Psychiatry Annual Report 34

There have been significant developments in Psychotherapy Training and this occupies prominence as its own portfolio. I would like to thank Therese Jacob-Goldman, who chaired the Psychotherapy Training Committee in the July 2009 to June 2010 academic year and co-ordinate Psychotherapy Training. This active committee has really moved psychotherapy training to a new level in our program. This is a credit to the co-ordinators who have taken a lead for the various aspects of “proficiency” teaching and training and “familiarity with” teaching. These include Dr. Judith Francis, CBT, Ms. Therese Jacob-Goldman, Psychodynamic, Dr. Jeffrey Reiss, Supportive, Dr. Patty Hall and Bill McIntosh, Familyi, Ms. Nancy Wardrop, IPT, Dr. Walter Friesen, DBT, and Dr. Volker Hocke, Behaviour Therapy. Beginning September 2010, I will co-ordinate overall Psychotherapy training with Dr. Sandra Fisman and each of the co-ordinators who comprise the training committee, will continue.

We continue to experience a high success rate in the Royal College specialty examinations in Psychiatry. In April 2010, five PGY5 trainees passed their examinations. They include: Waleed Al-Suhibani, Mahdi Memarpour, Sreelatha Varapraven, Patti Hall and Simran Ahluwalia.

We welcomed Drs. Daniel Hertzman, Viraj Mehta and Alexandra Nowicki as members of our junior full-time clinical academic faculty; Daniel at London Health Sciences Centre to the General Adult Psychiatry Division, and Viraj and Alexandra at Regional Mental Health Care, Alexandra to Mood Disorders and Collaborative Care and Viraj to Concurrrent Disorders in the Division of Social and Rural Psychiatry. We congratulate all of our graduates. Many of our spring 2009 graduates are in their second year as full-time clinical academics including Drs. Heidi Haensel, Patricia Hall and Leanna Isserlin to the Child & Adolescent Division, Dr. Jennifer Oates to Geriatric Psychiatry at London Health Sciences Centre and Dr. Sreelatha Varapraven to the Division of Social & Rural Psychiatry at Regional Mental Health Care. Dr. Simran Ahluwalia joined the Child U& Adolescent Division as an adjunct faculty, working clinically at CPRI.

We regard the high number of our trainees who have joined us as junior faculty over the past few years as a sign of a healthy academic department.

In 2009, RCPSC granted subspecialty status, in principle, to Child & Adolescent Psychiatry, Geriatric Psychiatry and Psychiatry & The Law. To implement this, a funded PGY6 year will be offered to those training programs which have the capacity for these subspecialty experiences. Our program anticipates offering 2 slots in each subspecialty area. The program development for these subspecialties include Dr. Patty Hall for Child & Adolescent Psychiatry, the undersigned for Geriatric Psychiatry and Dr. Jose Mejia for Psychiatry and The Law. It is anticipated that the first PGY6’s will enter in July 2012. There is much to be done to develop this PGY6 year for each of the subspecialties.

Thank you to so many people who participate in postgraduate education including many faculty teachers and supervisors, but particularly those who sit on the training committees and lead program components. Thank you, too, to our allied health professional teachers who contribute so much to the Postgraduate Mission of the Department.

2009-2010 Department of Psychiatry Annual Report 35

CaRMS & PGY1, Portfolio Report

We have continued to be successful in the CaRMS match with a significant number of Schulich graduates applying to our own and other psychiatric programs affirming that engagement of undergraduate medical students is the best psychiatry recruitment tool we have.

Dr. Christopher Tidd

The major new task under the PGY 1 Portfolio lead was the creation of the resident safety committee. This committee came about after the Royal College strongly urged all psychiatry training programs to have one. The committee includes key departmental members including LHSC safety director Ron Heyboer, inpatient leaders Beth Mitchell and Jeff Reiss, resident representatives, and ER physician leader Dan Lefcoe. The committee developed Terms of Reference, linked with the current LHSC mental health safety committee (with the assistance of Beth Mitchell) and reviewed the reporting procedure in the event of an incident involving the safety of a resident while on rotation in psychiatry. After chairing this committee for the 2009-2010 academic year, the chair responsibilities will transition to Dr. Viraj Mehta who joins the Department as a CEPS supervisor and has been resident ER representative on the committee in his PGY5 year.

An ongoing task in 2009/2010 included the annual PGY 1 rotation coordination. For the incoming PGY 1’s, the new requirements included increasing the neurology experience from 1 block to 2 blocks with a preference that the additional time be spent in Neuroradiology. Medicine training can be from Family Medicine, Pediatrics, and/or Internal medicine. The internal medicine option could be from inpatient medicine, consult/ambulatory services, or endocrinology. For each resident we have been able to secure at least 1 block of Family Medicine, 1 block of Pediatrics (Peads ER), and a combination of either: Endocrinology, Ambulatory Medicine, or Inpatient. The internal medicine options were accepted based on availability and taken in order as listed. The remaining blocks include Adult Medical ER, 3 blocks of psychiatry (General adult inpatient, Child inpatient, and Psychiatric ER in CEPS), 2 non-psychiatry Selectives and 1 Elective in any specialty. We still have a unique block 1 orientation month for all incoming psychiatry residents which occurs in the first block, which counts as a psychiatry Selective.

The CaRMS process was changed in the fall of 2008 for the 2009 entry class. We first created a CaRMS working group in order to come together as a small and efficient idea group. This group consisted of the Chief Resident, a current PGY 1 resident, the PGY 1 Portfolio Coordinator, and the UGME Director. The goals of this committee were to standardize the screening and review process, as well as improve upon the actual CaRMS interview day experience. In 2008 we took a poll from the PGY 1 and PGY 2 residents asking their opinion on what went well and not well during their UWO interview experience. We incorporated their responses into our own ideas and created a new agenda for interview day. A “preamble” was created explaining how the committee intends to screen candidates in order to present a transparent model into our selection process, mostly directed at the stage of deciding who to invite for interviews. This document will be reviewed and updated for the next 2011 entry candidates. A personalized portfolio review form 2009-2010 Department of Psychiatry Annual Report 36 has been created, which has been scrutinized and modified in order to better distinguish qualified candidates from the CMG and IMG pools. This committee is created every September and meets regularly between October and January to direct the CaRMS process.

The success of CaRMS for the 2010 entry group, we believe, was due to significant changes in the interview day which began with the 2009 entry group. We worked with the resident group to have them involved with the interviews. In addition, they did a tour of London for applicants and an applicant/resident social in the evening. This included a scheduled itinerary outlining the candidate’s day from the interviews, to the city tour, and transportation to the restaurant for the evening social. We arranged booths for physician leaders only, representing major departmental divisions or training sites. This allowed the candidates to have access to faculty members who are directly involved in their training. The lunch was changed from a buffet with candidates, residents and faculty to a candidate-resident only lunch. This allowed for the candidates to ask questions about the program without faculty present and allowed for the PGE leaders to orient the faculty interviewers on the interview process. The 2010 entry group included 5 CMG and 2 IMG positions, which were all filled on first iteration (second consecutive year of filling on first iteration). We welcomed Joy Abramson, Caroline Armstrong, Rebecca Haque, Michael Mak, Maryna Mammoliti, Ajay Prakash, and Mohamad Elfakhani to our program on July 2, 2010.

In order to improve our resident experience we have created the CEPS rotation under the guidance of Dr. Chris Tidd. The process began in the spring of 2007 with numerous meetings and conversations with the resident leadership, departmental leaders, and proposals to the Resident Training Committee

The current CEPS model involves several important collaborators. We have prominent support and input from the Resident ER Rep and the Chief Resident. This is because the CEPS rotation is closely coordinated to the residents integrated on call which also happens to occur in CEPS. The rotation experience involves dedicated support from the CEPS nurse case managers and the supervision is shared between Dr. Tidd (rotation coordinator and clinical supervisor) and Drs. Lefcoe and Mehta (clinical supervisors). We include Urgent Psychiatry as part of the rotation since many ER referrals are sent to this clinic and allows for a great variation in managing different diagnosis and at different severity.

This Emergency Psychiatry rotation experience is required for all our PGY 1 residents and for residents in ER Medicine and Neurology for whom psychiatry is a core requirement. The rotation is a 1 block experience and allows for up to 2 residents and 1 medical student at any given time. The success from the 2008-2009 academic year translated into all but 1 spot being filled for the 2009-2010 academic year with our core residents and requests from Family Medicine.

We also provide training in psychiatry for other services which have requirements in psychiatry, such as ER Medicine and Neurology. We work in collaboration with Family Medicine to place their residents for psychiatry electives. All core off-service residents rotate through our CEPS service in order to provide a consistent and broad based experience. This rotation was new as of July 2008 and also incorporates exposure in our Urgent Psychiatric Consultation service. Supervision is currently shared between Drs. Tidd, Lefcoe and will include Dr. Mehta in the 2010/2011 year. Most of our elective requests are assigned in the Urgent Psychiatric Consultation service with Dr. Chamberlaine, the Consult/Liaison Service with Dr. Barr or Garcia, or the CEPS/Urgent experience. These elective requests are assigned based on availability of each site after our own residents are placed, and then the core off-service requirements are met. Working with the ER medicine residents has facilitated the Collaborator role between CEPS and the Medical ER, for our own trainees.

2009-2010 Department of Psychiatry Annual Report 37

The PGY1 portfolio development has been a rewarding experience for our trainees and building on the orientation month for all of our incoming Psychiatry PGY1’s continues to make the PGY1 Psychiatry experience a unique one at Western.

Undergraduate Education

A report by the Conference Board of Canada in 2010, based on a needs-based simulation model, has identified a significant future shortage of psychiatrists in Ontario – engaging our bright undergraduates to a career in psychiatry is ever more important.

It has been another busy year in Undergraduate Education.

Medicine 5207 (Psychiatry and the Behavioural Sciences) is a five-week consolidated course offered in the second year of medical school. On the end-of-course survey the overall course score was 5.59 which is quite impressive. We would like to acknowledge the hard work of the committee which included Dr. Sanaa Helmi, the course chair, and Drs. Sandra Northcott, Richard Owen and Mark Watling. Also, sincere thanks to all faculty members who participated in didactic lectures, small group sessions and PCCIA. In July 2010 Dr. Mark Watling will assume the role of course chair.

Dr. Carla Garcia will begin her second year as Patient Centred Clinical Methods Coordinator. She has worked very closely with the simulated patient program at Schulich to enrich the experience for the medical students. Volunteerism for small group teaching remains crucial to the success of the Undergraduate Program.

In 2010, Dr. David Robinson stepped down as the Clerkship Seminar Series Coordinator as well as the Psychiatry Assistant Undergraduate Director. During his time as Seminar Series Coordinator, Dr. Robinson realigned the lecture series to ensure it met Undergraduate Medical Education curriculum objectives. During the most recent evaluation of the Psychiatry Clerkship Program, the Clerkship Lecture series was very well received. The seminar series continues to be teleconferenced to our SWOMEN sites with Windsor offering an equivalent seminar series. One of the most highly rated aspects of clerkship is the experience our medical students have with our residents. The teaching of clinical clerks in the Emergency room has been consistently highly rated. Also considered similarly valuable are the resident teaching sessions. Thank you to our residents, Drs Rebecca King, Julie Richard, Zev Grynspan and Leslie Ritchie for the countless hours they have provided in teaching our undergraduates. In June 2010, a workshop was held for faculty which reviewed the role and responsibilities of a clinical clerk. Thank you to all faculty members who attended.

The psychiatry clerkship offers a unique experience in that clinical clerks are provided a weekly half-day experience in Child and Adolescent Psychiatry. For a number of years Dr. Ajit Ninan coordinated this experience with the Child Psychiatry Group; his efforts have been much appreciated. In July 2010, Dr. Ben Loveday will assume the Undergraduate Coordinator role and continue to provide this distinctive opportunity.

2009-2010 Department of Psychiatry Annual Report 38

The clerkship experience in Windsor continues to receive excellent ratings. Dr. Akinlosotu has taken over the reigns from Dr. Corina Velehorschi. Dr. Tam Doey remains actively involved with the Child Psychiatry teaching in Windsor.

The SWOMEN site continues to play an integral role in the training of our clinical clerks. Dr. Ranjith Chandrasena has continued to maintain the high standards that we have so much come to expect. Clerkship rotations in Sarnia, Chatham and Stratford remain popular among the students.

In 2011 we expect to see a number of exciting changes and challenges. Currently the psychiatry clerkship is divided into two three-week blocks. Starting in September 2011 students will be offered two-week core rotations in inpatient and outpatient psychiatry as well as a two-week selective. This is consistent with changes occurring in other areas of Medicine. As part of the change, students will no longer be provided the weekly half-day in Child and Adolescent Psychiatry. Clinical clerks interested in an exposure to Child and Adolescent Psychiatry will be able to pursue this with a two-week selective. In March 2011 the Psychiatry Clerkship will undergo an internal review. Faculty may be approached to give their feedback on the Clerkship Program.

We would like to thank all faculty members who are involved in the various aspects of undergraduate teaching. It is exciting to see so many eager to participate.

Continuing Medical Education & Professional Development

Joint leadership for Continuing Education in the Department of Psychiatry has promoted a vision for a collaborative learning environment that incorporates interprofessional activities.

This report highlights the educational activities that have Dr. Varinder Dua been pursued in the Department of Psychiatry between July Joel Lamoure 2009 and June 2010. It focuses on the monthly Continuing Medical Education (CME) events, the weekly Coordinated Professional Development (CPD) activity at the hospitals, Special CME events, collaborations with the UWO CME Office, and Collaboration with the Canadian Psychiatry Association.

In keeping with a vision of collaboration and partnership, we have endeavored to promote interprofessionalism and ensure that the learning activities provided are evidence-based, balanced and as free of bias as possible. The programs offered through the Department are approved for Section 1 Accredited Group CME learning activities accredited by the Royal College of Physicians and Surgeons of Canada (RCPSC) for MOCOMP credits. As per the requirements governing CME, we have adhered to the RCPSC guidelines in providing these

2009-2010 Department of Psychiatry Annual Report 39 activities. Participants at our CME events are always encouraged to utilize Sections 3 through 6 of the Maintenance of Competence (MOCOMP) credits offered by the RCPSC to its Fellows (in addition to Section 1 and 2) so that they can enhance their learning portfolio and provide evidence based care to their patients.

While we work co-operatively with the pharmaceutical industry, we have continued to ensure that we are guided by the AAMC and UWO guidelines related to interaction with industry, The Canadian Medical Association Code of Ethics and the CMA policy “Physicians and the Pharmaceutical Industry” and the RCPSC guidelines that dictate the relationship of pharmaceutical industry to the Universities and Institutes of Learning. As usual, the Department of Psychiatry and the RMHC Co-ordinated CME budget have funded many of these programs. In some instances we were successful in obtaining unrestricted educational funding from the pharmaceutical industry that was in keeping with these guidelines.

In an effort to promote this co-operative venture, on October 20, 2009, we had a meeting with close to a dozen pharmaceutical industry representatives. We discussed the current AAMC and SACME guidelines with them. We balanced these with the Pharmaceutical Manufacturer Representatives Canada guidelines that the representatives are bound to along with Research and Development guidelines.

The continuing Education Program is guided by two advisory panels, the CME Executive Committee (Department CME) and the CPD Committee (Co-ordinated CME). Both of these advisory groups are constituted of physicians and allied health professionals who provide input into the current CME programs and direction regarding future programs.

The monthly CME programs are being televideo-conferenced to 14 sites and the weekly CPD and After Program activities are televideo-conferenced to 7 sites. We continue to utilize the Pre-test and Post-test tool for the participants in our monthly CME activity for individuals to self-evaluate their knowledge base prior to the CME activity. The participants are also encouraged to use the content of the CME for triggering Personal Learning Projects and to utilize this knowledge in managing their patients. They are also encouraged to use the CME credits earned from this activity toward their Section 4 MOCOMP Credits.

MONTHLY CME EVENTS from July 2009 to December 2009

CME DATE THEME TOPICS COVERED SPEAKERS

September The State of the Art Moderator Dr. Rob Nicolson, 10, 2009 of Fragile X UWO Research Case Presentation Dr. Mili Ryan Resident, UWO

"The State of the Art of Dr. Randi J. Fragile X Research" Hagerman, Medical Director M.I.N.D. Institute, Sacremento, CA October 8, Seasonal Affective Moderator Dr. E. Osuch, 2009 Disorder UWO

Case Presentation Dr. Kevin Baird, 2009-2010 Department of Psychiatry Annual Report 40

Resident, UWO

Seasonal Affective Disorder Robert D. and Seasonality: A Clinical Levitan, and Research Update University of Toronto

November Sexual Offending Case Presentation Dr. Jennifer 12, 2009 by Children and Tiffany, Resident, Adolescents UWO Moderator Dr. Mejia Exploring the Basis of Phil Rich, Sexually Abusive/Sexually Director of Deviant Behaviour in Clinical Program Children and Adolescent Development, Massachusetts December COGNITIVE Moderator Dr. Marnin Heisel 10, 2009 THERAPY Case Presentation Dr. Ahmed Jwely, Resident Cognitive Therapy: Myth Dr. Ian R. and Reality Nicholson, Psychologist January 14, PSYCHPHARMACO Moderator Dr. V. Dua 2010 LOGY, Case presentation Dr. Aziz Haque PHARMACOGENO Metabolite vs. Parent Mr. Joel Lamoure MICS AND Drug… TRANSCULTURAL Psychopharmacology and IMPACTS Transcultural Impacts February 11, Delirium: An Moderator Mr. J. Lamoure 2010 Overview of Case Presentation Dr. Georges Pathogenesis, Loba Gutierrez Diagnosis and Delirium: The Battle Dr. Varinder Dua Management between Hydra and Hercules March 11, The Skinny on Moderator Mr. J. Lamoure 2010 Antipsychotic Case Presentation Dr. Viraj Mehta Weight Gain and Therapeutic Antipsychotics induced Dr. S. Devarajan Options Weight Gain Mechanisms and Options April 8, 2010 Myths and Realities Moderator Dr. G. McCarthy of Methadone Case presentation Dr. Aleksandra Maintenance Nowicki Treatment Methadone Replacement Dr. Martyn for the Management of Judson Opioid Dependence May 13, Future Directions in Moderator Dr. S. Jarmain 2010 Psychiatric Panel Discussion Resident: Dr. Education Chris Ryan Physicians: Drs. V. Dua and M. Steele 2009-2010 Department of Psychiatry Annual Report 41

Subspecialty Training in Dr. Melissa Psychiatry: development, Andrew status, and role in competency-based education June 10, Medically Moderator Dr. H. Haensel 2010 Unexplained The case of troublesome Dr. Julie Richard Symptoms in cough Paediatric Patients Management of Medically Dr. Rose Geist Unexplained Symptoms in Youth: The Doctors Dilemma

WEEKLY Co-Ordinated Professional Development EVENTS from July 2009 to December 2009 CME DATE TOPIC SPEAKER/S September 8, Relatives' Expressed Emotion: Its significance Dr. Julian Leff 2009 for mental illnesses September Diabetes Services in the South West LHIN: Susan Warner 14, 2009 Now and Into the Future Sherri King Diabetes & Mental Health: Systemic Michelle Hurtubise Opportunities for Improvement in Care Integration September Coping of Individuals with Schizophrenia Dr. Priya Subramanian 28, 2009 October 5, Everything You Need to Know About the New Elaine Gibson, VP 2009 Alternate Level of Care Designation Sandy Morton, PPL SW October 19, HOPE: Nurturing the Spirit for Rehabilitation Rev. Marvin Shank 2009 Rev. Chris Baron October 26, Double Jeopardy (for Psychiatry) Dr. David Robinson 2009 November 2, Changes to the Concurrent Disorder Program Dr. Greg McCarthy 2009 at RMHC and Introduction to Motivational Interviewing for Concurrent Disorders November 9, The Not so Ecstatic Effects of Ecstasy Dr. Varinder Dua 2009 November METABOLIC SYNDROME: The Nursing Role in Brenda Merrifield 16, 2009 Keeping Us on Track for Screening and Leslien Walters Monitoring of Patients at Kamini Kalia Regional Mental Health Care Marilyn Dafoe November Marijuana Psychosis: Myth or reality? An Dr. Simon Chiu 23, 2009 evidence-based approach November The Role of Typical Antipsychotics: When Dr. Richard O’Reilly 30, 2009 evidence and practice collide December 7, Ethical Issues in Ambulatory Mental Health Moji Adurogbangba 2009 Care January 11, Polymorphisms and Serotonin Syndrome...A Mr. J. Lamoure; Ms. J. 2010 case based approach Stovel

2009-2010 Department of Psychiatry Annual Report 42

January 18, Antidepressant-related Sexual Dysfunction Dr. D. Hertzman 2010 January 25, Neuropsychiatry of Dementia Dr. A. Burhan 2010 February 01, Police Response to Psychiatric Patients’ Insp. Steve Goodine 2010 Aggression February 08, To Live Until We Say Goodbye: The dying of a Dr. N. Campbell 2010 patient in long term psychodynamic psychotherapy February 22, Mood and Food – Our journey in Ms. S. Bird; Ms. D. 2010 interdisciplinary collaboration Jones March 01, repetitive Transcranial Magnetic Stimulation Dr. P. Subramanian 2010 March 08, Mental Health and Privacy Laws: Ontario’s Dr. J. Gray 2010 Problems, Other Provinces’ Solutions March 22, EMDR Treatment of PTSD Dr. L. Maxfield 2010 March 29, Proof of Lasting Changes from Dr. I. Feltham 2010 Psychotherapy for Borderline PD Patients April 12, Pharmaceuticals, Nutrition, and Mental Ms. C. Seely; Mr. J. 2010 Health: Blending the Essential Ingredients Lamoure April 19, Forgiveness: A Primer for Health Care Dr. P. Gangdev 2010 Professionals April 26, Clearing the Air: The Ethics of Designated RMHC Ethics 2010 Smoking Areas (Bioethics Rounds) Education & Consultation Committee May 03, Strengthening Collaborative Recovery: Ms. C. Gauthier & 2010 Understanding the Family Experience (Rehab members of RMHC Rounds) FAC May 12, The Role of Research in Informing the Dr. K. Mueser - 2010 Treatment of Severe Mental Illness (RMHC Keynote Speaker Annual Research Half Day) May 17, Complex Care: A Balancing ACT (Complex Mr. T. Scott/ Ms. A. 2010 Case Rounds) Knight/ Ms. H. Mathuranayagam/Dr. V. Dua May 31. Nurturing Resilience in Mental Health Prof. D. Hurley 2010 Providers

Special Educational Events in 2009/ 2010: The CME program also arranges for special events in addition to our monthly Departmental CME and our weekly Hospital-based Coordinated CME activities.

SPECIAL EDUCATIONAL EVENTS from July 2009 to June 2010

CME DATE THEME MODERATOR TOPIC / SPEAKER September DIABETES CARE, Dr. Varinder 2008 Clinical Practice 18, 2009 GUIDELINES & Dua Guidelines for the Prevention PRACTICE and Management of Diabetes in

2009-2010 Department of Psychiatry Annual Report 43

WORKSHOP Canada Dr. Irene Hramiak Enhancing Self-Care Capacity Anne Finigan Pattern Management: The Key to Achieving Good Blood Glucose Control Betty Harvey, Amanda Mikalachki Nutrition: 'Living Well with Diabetes' Christina Seely, Alison Laplante Assessment, Care, and Client Centred Health Teaching of the Pre Diabetes and Diabetic Foot Shelley Poels, Liz Hostetler & Anna Pien-Boate Medical Management of Diabetes Dr. Tisha Joy

The Metabolic Syndrome: An Ivory Tower Concept or a Useful Clinical Tool? Dr. Rob Hegele October 2, SCHIZOPHRENIA: Dr. S. Fisman TRIBUTE TO DR. RUTH 2009 BEYOND THE KAJANDER MOLECULE Dr. Harold Merskey Back to Basics: Schizophrenia Genetics; Reinforcing DNA Signaling and Do Medications Even Support This? Dr. Walter Rushlow Early Intervention in Psychotic Disorders: What do we know about its impact on outcomes? Dr. Ross Norman Present and Future of Psychiatric Rehabilitation (PSR) Dr. Abraham Rudnick The Future of Medical Care Dr. David Healy November Department of Dr. S. Fisman Presentation on Educational 20, 2009 Psychiatry, Scholarship EDUCATION Dr. L. Lingard RETREAT February ECT: An Evidence Dr. V. Dua Evidence Based Parameter 16, 2010 Based Approach Selection and Use Dr. Edward Coffey Neurocognitive Issues with ECT Dr. Edward Coffey 2009-2010 Department of Psychiatry Annual Report 44

Indications for ECT Dr. Varinder Dua Preparation for ECT: Medical Risks Dr. Airudin Khan Preparation for ECT: Anesthesia Risks Dr. James McKishnie Preparation for ECT: Psychiatric Considerations (meds) Dr. Siva Devarajan ECT Consultation Clinic Dr. Amer Burhan Overview of TMS Dr. Amer Burhan June 07, Movement Disorders: Dr. B. Surti Dr. M. Jog 2010 Overview

Annual Medicine Update in Psychiatry, is another collaborative venture with the CME office at Schulich since its inception in 2004. The 2010 Annual Medicine Update Day in Psychiatry was held on April 10, 2010, chaired by Dr. Dua. Its focus was on “The Painful Reality of Pain”. Various disciplines including nursing, pharmacy, social work and physicians were in attendance. This event was accredited by the Royal College for MAINPRO and MOCOMP credits. Evaluations were extremely positive amongst the 40 participants, with an overall 90% rating for all speakers.

Planning for the 8th Annual Medicine Update for Psychiatry was held in August 2010.

Movement Disorders Workshop

The Movement Disorders Workshop was held at RMHC-London on June 7, 2010 and was attended by approximately 110 people. This event was accredited by the Royal College for MAINPRO and MOCOMP credits. Various disciplines including nursing, pharmacy, OT, social work and physicians were in attendance, making this a truly inter-professional experience. Funding was provided by RMHC-London and was free of commercial and pharmaceutical support.

ECT: An Evidence Based Practice

On February 16, 2010 this workshop was run and attended by physicians, residents and nurse practitioners. The event was accredited by the Royal College for MAINPRO and MOCOMP credits. Funding was provided by RMHC-London.

Mood Disorders Symposium

Collaborative planning for a full day educational event focused on the pharmacotherapy and psychotherapies in mood disorders. This took place on October 29, 2010 at the Best Western Lamplighter Inn. This event was applied for accreditation by the Royal College for MAINPRO and MOCOMP credits and showcased departmental research in the First Episode Mood and Anxiety Disorders Program (FEMAP), role of TMS in the treatment of depression, mood disorders in women and affect regulation pathways.

2009-2010 Department of Psychiatry Annual Report 45

Collaboration with the Council of Psychiatric Continuing Education (COPCE), CPA

We continue our partnership and collaboration with CE directors from other Departments of Psychiatry across the country. The next COPCE meeting was scheduled on April 17, 2010.

Collaboration with UWO CME Office

We have continued to work collaboratively with the Office of Continuing Professional Development (CPD), University of Western Ontario under the leadership of Dr. Jatinder Takhar, Associate Dean CME. As part of that venture, both Mr. Joel Lamoure and Dr. Varinder Dua are also members of the Advisory Committee on Continuing Medical Education (ACCME) Committee that is chaired by Mr. Lamoure, whose term runs from March 2009 – June 20, 2010. Dr. Carlo Garcia succeeds Mr. Lamoure as Committee Chair.

We are also currently members of the Continuous Professional Development (CPD) Group that is disseminating CE modules developed by the CEPD Office of the University of Toronto.

Dr. Dua worked closely with the UWO CPD office in implementing a Confidence Based Learning (CBL) Program (an online learning tool for Family Physicians). This is available online.

MD Briefcase has invited the CPD office to develop an online module on Mood Disorders for General Practitioners and this is being developed under the leadership of Dr. Varinder Dua. At the time of preparation of this report, the module is complete and is being reviewed by the Department of Family Medicine.

2009-2010 CME Awards

1. Junior Resident CME Award (PGY2-3 at time of presentation): Dr. Aziz Haque (6.5) 2. Senior Resident CME Award (PGY4-5 at time of presentation): Dr. Kevin Baird (6.5) 3. Junior Faculty CME Award (Under 7 years on staff at time of presentation and/or Assistant Professor rank or lower): Joel Lamoure (6.4) 4. Senior Faculty CME Award (Associate Professor rank or higher and/or > 7 years experience at time of presentation): Dr. Ian Nicholson (6.8)

Criteria for Awards: Highest overall average peer and audience evaluations from live site. This is based on the evaluation tools that cover the Guidelines and principles of adult and postgraduate education and in the following areas:

- Overall Presentation Effectiveness - Content Relevance - Used Effective Teaching Methods - Met the Stated Learning Objectives - Enhanced my Knowledge - Satisfied my Expectations - Conveyed Info that Applied to my Practice - Allocated at least 25% of the Time for Interaction - Free from Commercial or other Bias

2009-2010 Department of Psychiatry Annual Report 46

The essence of Lifelong Learning and Educational Scholarship is the basis for this 2009- 2010 annual report. We endeavor to foster this spirit and quest for Lifelong learning and educational scholarship in our attendees and consumers.

Research in the Department of Psychiatry Dr. Ross M.G. Norman Professor and Director of Research

A perusal of the list of publications, conference presentations and funding appended to this report will testify to the continuing breadth and quality of research by those affiliated with the Department of Psychiatry. I am also including a couple of charts that demonstrate the growth in our research productivity. Congratulations to all members of the Department who have contributed to this very positive trend.

Number of Peer‐reviewed Grants Held with Faculty as Principal Investigator* (Running three year average)

40

35 34.0

30 28.7

25 25.3 Grants 21.7

of 21.0 20 19.7 20.0

15 15.0 Number 10 8.3 7.3 6.7 5 5.0 4.3

0 ‐ 1998 ‐ 1999 ‐ 2000 ‐ 2001 ‐ 2002 ‐ 2003 ‐ 2004 ‐ 2005 ‐ 2006 ‐ 2007 ‐ 2008 ‐ 2009 ‐ 2010 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Academic Year

Total Number of Peer‐Reviewed Publications* (Running three year average)

150 140 140 130 124 120 122 110 100 101.33 90 86.3 83.3 80 75.3 70 70 69.7 60 56.3 50 50.3 40 34.3 30 29 20 10 0 ‐ 1998 ‐ 1999 ‐ 2000 ‐ 2001 ‐ 2002 ‐ 2003 ‐ 2004 ‐ 2005 ‐ 2006 ‐ 2007 ‐ 2008 ‐ 2009 ‐ 2010 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Two seed funding competitions have been held within our Department during the 2009-2010 academic year. A total of 9 applications were submitted, with full or partial funding being recommended for 3 of them. Successful applications included:

H. Haensel, J. Eichstedt, K. Collins & E. Phoenix. "The management of childhood anxiety disorders in community settings: A survey of mental health providers." R. King, P. Gangdev, T. Takeda, D. Lefcoe, C. Chamberlaine & C. Tidd. "The prevalence of premenstrual syndromes in women presenting with psychiatric emergencies."

2009-2010 Department of Psychiatry Annual Report 47

P. Subramanian, A. Burhan & A. Rudnick. "A qualitative study of the experience of patients treated with repetitive transcranial magnetic stimulation (rTMS) for auditory hallucinations.”

The Annual Research Day for the Department of Psychiatry was held on Thursday, June 17th at Somerville House. The day featured 15 oral presentations and 16 posters by faculty and students affiliated with the Department. As always, the research presented covered a remarkable range of topics including neuropsychiatry, behavioural medicine, psychosocial intervention, and outcomes research.

The guest speaker was Dr. Joel Paris, Professor of Psychiatry at McGill University, whose topic was "Prescriptions for the Mind: A Critical View of Modern Psychiatry". Feedback from participants and attendees was very positive. Congratulations to winners of awards presented at Research Day. These included awards for best presentations by students, which went to Christina Castellani for her presentation on, "Incidence and Inheritance of Copy Number Variations in Monozygotic Twins Discordant for Schizophrenia," (co-authors: Sujit Maiti, Kiran Kumar, Richard O’Reilly & Shiva Singh); and to Priya Subramanian for her presentation entitled, "Barriers, Enablers and Related Strategies in Relation to Supported Post-Secondary Education for People with Mental Health Challenges: Preliminary Results from a Qualitative Study" (co-authors: Robert McEwan, Erica Lund berg & Abraham Rudnick). The Tom Hepburn Award for best presentation by a junior faculty member went to Ajit Ninan for his talk, "A Preliminary Evaluation of the Use and Utility of Evidence-Based Checklists for Monitoring the Side Effects of Psychotropic Medication for Children and Youth in Residential Care".

During the 2009-2010 academic year we initiated a new set of seminars related to research as part of the resident training program. These include seminars providing introductions to clinical research, psychometrics, biometrics, research design and statistics, qualitative methods, health economics, the role of research in a career in psychiatry, translational research and program evaluation. Many thanks to Drs. Deborah Corring, Cheryl Forchuk, Paul Frewen, Marnin Heisel, Jeff Hoch, Derek Mitchell, and Elizabeth Osuch, for their input and assistance in developing and delivering these seminars.

Thanks primarily to the efforts of Dr. Peter Williamson, the Resident’s Research Interest Group continues to provide additional opportunities for residents to become familiar with research being carried out within the Department and to receive encouragement and mentoring in developing their research interests. Similarly, the Faculty Research Interest Group continues to meet and interact on a regular basis.

I wish to thank the members of the Research Committee for the past academic year: Drs. J. Carter, D. Corring, M. Heisel, R., Manchanda, D. Mitchell, R. O'Reilly, A. Rudnick, W. Rushlow and P. Williamson, and the resident representative, Georges Loba Gutierrez. Dr. Michael Mak will be the resident representative for the coming year. Finally, my thanks to Jacqueline DiMattia for her outstanding contribution in providing administrative support to research within our Department.

2009-2010 Department of Psychiatry Annual Report 48

RESEARCH PROFILES

Dr. Paul Frewen is a Clinical Psychologist and Basic Science member of the Neuropsychiatry Division. He has authored or co- authored 10 peer-reviewed papers since joining the department in September 2008 on the topics of the neural correlates of self- referential processing, social emotions, alexithymia, and psychological assessment of trauma-related symptoms. He received the President’s New Researcher Award from the Canadian Psychological Association in June 2010. He is currently funded by an Ontario Mental Health Foundation New Investigator Fellowship. His research is being conducted in collaboration with several Department faculty, most notably Dr. Ruth Lanius, Harris-Woodman Chair in Neuropsychiatry.

Dr. Frewen currently also has a clinical appointment as a Psychologist with the LHSC Traumatic Stress Service. He is interested in supervising residents in the conduct of research associated with his clinical work with the Traumatic Stress Service, including program evaluation projects.

Dr. Frewen continues to be actively engaged in teaching and supervisory activities. He teaches the Psychometrics Module for the PGY2 lecture series, and co-teaches the Research Module for the PGY3 lecture series. He is also the instructor for introductory clinical psychology courses, and is currently supervising honours theses and independent studies, within the UWO Department of Psychology.

Dr. Marnin Heisel is a Clinical Psychologist, an Assistant Professor in the Department of Psychiatry with a cross-appointment in the Department of Epidemiology and Biostatistics in the Schulich School of Medicine and Dentistry, and a Scientist with the Lawson Health Research Institute. His research focuses on the prevention of suicide and enhancement of psychological resiliency and well-being among older adults.

Early in his training he became aware of a worrisome paradox; older adults in Canada and worldwide have high rates of suicide, and yet relatively little research attention had been devoted to this significant public health issue. He thus embarked on a program of research to develop and evaluate measures for assessing suicide risk and resiliency and interventions to reduce risk and enhance healthy aging. This program of research has contributed novel measures of suicide ideation and of meaning in life and evaluated existing assessment tools, and modified and initially tested a course of individual Interpersonal Psychotherapy for older adults at-risk for suicide. Related research aims to enhance understanding of the potential overlap and distinction between older adults contemplating suicide and those wishing to hasten death in the context of severe or life-threatening illness. Given the often lengthy delay between dissemination of empirical findings and their inclusion in standard healthcare practice, he is increasingly evaluating approaches for facilitating the timely translation of research findings into standard care. Associated knowledge translation initiatives include co-leading the development and evaluation of late-life suicide prevention knowledge translation tools and delivering presentations and training workshops to clinician, social service, and community groups.

2009-2010 Department of Psychiatry Annual Report 49

Dr. Ruth Lanius is the Harris -Woodman Chair in Psyche and Soma and has had a very active year regarding all aspects of Chair. Her research projects have continued to focus on problems of brain resting state networks, emotion regulation and the intergenerational transmission of trauma in patients suffering from complex posttraumatic stress disorder. The research projects are currently being supported by grants from the Canadian Institutes of Health Research, the Workplace Safety and Insurance Board as well as from the Department of National Defense. Dr. Lanius is also part of a 5,000,000 multisite grant, including sites at Harvard, Emory and New York University, funded by NIMH to investigate various new treatment strategies for PTSD. Dr. Lanius and her team have published a lead article proposing an emotion regulation model of PTSD in the American Journal of Psychiatry in June of this year. Dr. Lanius has also continued to be a panel member of the Biobehaviour Mechanisms of Emotion, Stress and Health Study Section at NIMH and the Behavioural Sciences B committee at CIHR. In addition, Dr. Lanius is an ad hoc reviewer for many journals, including the Archives of General Psychiatry, the American Journal of Psychiatry and Biological Psychiatry.

Dr. Lanius also continues to be active in teaching. Dr. Judith Daniels, a postdoctoral fellow from Germany and Dr Tomas Ros, a postdoctoral fellow from London, England are researching various aspects of social emotion processing and the effects of neurofeedback on neural functioning in PTSD. In addition. Rosi Kluetsch from Germnay completed her M.SC. with Dr. Lanius’ group. Moreover, Dr. Lanius has continued to give lectures and workshops within Canada and internationally. These lectures have focused on the underlying mechanisms of trauma disorders as well as on the treatment of complex trauma PTSD with a focus on the connection between psyche and soma.

Dr. Lanius has recently edited a book with Eric Vermetten and Clare Pain entitled “The Impact of Early Life Trauma on Health and Disease: The Hidden Epidemic” published by Cambridge University Press.

Dr. Derek Mitchell is a Basic Scientist in the Department of Psychiatry and in a tenure track position in Anatomy and Cell Biology at SSM&D. He was recruited to Western from NIMH.

Dr. Mitchell continues work supported by a grant from the Ontario Mental Health Foundation to investigate emotion regulation capabilities in patients with Major Depression using functional neuroimaging. In collaboration with Drs. Elizabeth Osuch at FEMAP and Peter Williamson in the Department of Psychiatry, Dr. Mitchell and his colleagues are using fMRI to examine functional brain abnormalities that distinguish unipolar from bipolar forms of depression and relate these differences to healthy individuals without a history of depression. The experiments focus on pathways in the brain that are implicated in controlling emotions (reducing negative ones and sustaining positive ones). The technique is designed to simulate some of the processes patients are asked to perform in psychotherapy. Data collection is ongoing, but early results indicate marked differences in the pathophysiology of

2009-2010 Department of Psychiatry Annual Report 50 emotion dysregulation in patients with bipolar disorder relative to unipolar disorder despite both being in a depressed state. The long term goal is to pursue this line of investigation and provide critical information about the functional neuroanatomy associated with unipolar versus bipolar depression, and the neural and cognitive systems that need to be targeted when treating each disorder.

Dr Mitchell continues work on a 5-year project from the Natural Sciences and Engineering Research Council of Canada designed to determine how the healthy human brain controls emotion, copes with stress, and guides decisions effectively. This work addresses fundamental questions about healthy behaviour, and lays the groundwork for the work being conducted in clinical populations. Thus far, this work has supported five publications in prestigious journals including NeuroImage and the Journal of Neuroscience. One of the outcomes of this work has been identification of neural regions common to both emotion regulation and effective decision making. Based on our early findings in the work supported by OMHF, we are also finding that these same neural regions are implicated in major depression and bipolar disorder. These studies therefore allow us to better understand the role that dysfunction in these regions play in the cognitive and behavioural difficulties associated with mood disorders.

In 2009, Dr Mitchell continues work on a project funded by the Social Science and Humanities Research Council of Canada. This work is being conducted in collaboration with Dr Richard Neufeld of the Department of Psychology and Psychiatry. The study is based on previous work that has identified a behavioural technique that helps resolve some of the empathy problems encountered by individuals suffering from specific brain injury and some developmental disorders. Using fMRI, they will examine whether similar behavioural techniques can boost the function of empathy-related brain regions in individuals at risk for conduct disorder or those who have high levels of autistic traits. Early results suggest that the manipulations being used effectively modulate the capacity of healthy individuals and individuals with high antisocial traits to recognize emotions in others.

Dr. Rob Nicolson is an endowed Chair in Autism Studies and heads the Autism Centre of Excellence at the University of Western Ontario.

In the past 18 months, he has continued to develop his research program in developmental disabilities through the Autism Centre of Excellence and the Developmental Disabilities Division in the Department of Psychiatry, SSM&D at The University of Western Ontario. He has published three articles on autism in Psychiatry Research: Neuroimaging, American Journal of Human Genetics, and Human Brain Mapping. Work done by Dr. Nicolson and his group has been presented at the International Meeting for Autism Research in 2008, 2009, and 2010 and at the annual meeting of the International Society for Magnetic Resonance in Medicine in 2008 and the Canadian Academy of Child and Adolescent Psychiatry in 2009. He has also received $380,000 in research funding for his brain imaging research in autism from the Canadian Institutes for Health Research(CIHR) and has been a co-investigator on CIHR grant for $325,000, examining health outcomes in children with severe and profound mental retardation. He is a co- investigator on research training in autism grant from the Canadian Institutes for Health Research for $1,950,000.

2009-2010 Department of Psychiatry Annual Report 51

Part of his responsibilities include encouraging and supporting research by students. To this end, he has co-authored a study by a resident in the Department of Psychiatry which has been submitted for publication. He has also co-authored a paper submitted to the journal Neuroimage by an undergraduate student in medical biophysics and two papers submitted to the journals Biological Psychiatry and the Journal of the American Academy of Child and Adolescent Psychiatry by a graduate student in medical biophysics.

Dr. Ross Norman is a Professor and the Director of Research in the Department of Psychiatry and a Professor in the Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry. He is also cross-appointed as a Professor in the Department of Psychology at UWO. His research interests are primarily the prediction and improvement of outcomes for first episode psychotic disorders. For the past ten years, foci of his research have been determinants of treatment delay, the relationship between delay in obtaining treatment and later level of recovery as well as the impact of the nature of follow-up care on patient outcomes. Additional issues addressed in Dr. Norman’s research are the relationship between various indices of outcome for psychosis, such as symptoms and psychosocial functioning and development of measures of the critical components for early intervention programs. This work has clear implications for service delivery to individuals suffering from psychotic disorders.

The search for modifiable predictors of outcome for individuals with psychotic disorders (such as social support) has also led Dr. Norman to develop of a research program concerning the “stigma” of mental illness – in particular its possible effect on individual acceptance of treatment and on treatment outcomes, as well as a better understanding of the basis for public stigmatization. He and his colleagues have been especially interested in the importance of social norms, personal values and implicit versus explicit social evaluative responses in determining and changing attitudinal and behavioral responses to those with serious mental illness.

Dr. Elizabeth A. Osuch Dr. Osuch’s project investigating the functional brain changes associated with non-suicidal self-injury (NSSI) in youth has been completed (funded by the Lawson Intra-mural Research Fund) and Dr. Osuch, Jo Anne DePace and Bradley Ford presented those data at the conference of the International Society for the Study of Self-Injury (ISSS) in Chicago in June 2010. Several manuscripts are in preparation related to both the pain-processing and the standard reward- processing paradigms that were used.

Funding from the Ontario Mental Health Association for the imaging study on the effects of marijuana and depression in youth has continued. This project has been expanded to include depressed youth on a stable dose of one antidepressant in order to increase enrollment.

Dr. Osuch and Dr. Jean Theberge (Department of Medical Biophysics) are one of three runners up in the Lawson Innovation Prize competition and will be completing the third and final round of that competition on September 10th 2010. Their project involves creating and 2009-2010 Department of Psychiatry Annual Report 52 commercializing an imaging and imaging-analysis technique to accurately differentiate youth with depression as having either unipolar depression (Major Depressive Disorder) or Bipolar Disorder. Collaborators include our own Peter Williamson, Jim (Richard) Neufeld, Derek Mitchell, Kathy Macdonald, Kristen Ford (postdoctoral fellow), and Vince Calhoun from the University of New Mexico.

Work continues to progress on Dr. Osuch’s qualitative research project with ex-postdoctoral fellow Robyn Bluhm (now at Old Dominion University in the USA) on issues of stigma for youth with mental health concerns. This project had been funded by the “Transdisciplinary Understanding and Training on Research Primary Health care (TUTOR-PHC)” program.

Dr. Osuch has given several public talks including one entitled, “Youth and Marijuana: Is it as Harmless as we Like to Think?” in May for the Family Support Network of London and Area. The talk was attended by and subsequently covered by the CBC radio. Dr. Osuch received several invitations to repeat the talk at other venues, the next of which will be sponsored by the London Public Library in late September.

Dr. Nagalingam Rajakumar Dr. Rajakumar is a Basic Scientist in the Department of Psychiatry and tenured in the Department of Anatomy and Cell Biology at Schulich School of Medicine & Dentistry (SSM&D). He has developed and animal model for Schizophrenia and more recently for Autism which are contributing to the understanding of basic pathophysiological mechanisms at a molecular level, in these disorders. During the past 18 months, Dr. Rajakumar has received over $225,000 in peer review research funding as a principal investigator and an additional $990,000 as a co-investigator. During this time, he has published 6 peer-reviewed full-length papers in high impact journals including Human Brain Mapping, Psychiatry Research, International Journal of Neuropsycho-pharmacology and Schizophrenia Bulletin. He has been the primary research supervisor for 3 graduate students two of whom have successfully completed their Master’s degree in August 2009. His students were awarded OGS and internal university scholarships. He has collaborated with scientists in the departments of Psychiatry, Psychology, Biophysics and Anatomy & Cell Biology, and served on advisory committees for 14 graduate students in the Neuroscience and Anatomy & Cell Biology graduate programs.

Dr. Rajakumar was also participated in teaching dental students, undergraduate and graduate students in the Neuroscience graduate program and in the Department of Anatomy & Cell Biology. In addition, he has served as a senator in the University Senate, as a member and vice-chair of the Animal Use Committee at Western, and as an elected member of the Program Committee of the Neuroscience Graduate Program. He also served on the Research Committee in the Department of Anatomy & Cell Biology, and the interview panel for medical admission at SSM&D.

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Dr. Abraham Rudnick Dr. Abraham Rudnick is the Chair of the academic Division of Social & Rural Psychiatry. In addition to his MD, he has a Ph.D in Bioethics and is cross-appointed to the Department of Philosophy at the University of Western Ontario (Western). He is a Certified Psychiatric Rehabilitation Practitioner (CPRP) by the United States Psychiatric Rehabilitation Association (USPRA), and he is the Director of Bioethics in the Department of Psychiatry at Western and the Head of the Canadian Unit of the International Network of the UNESCO Chair in Bioethics.

Dr. Rudnick’s research interests primarily involve psychiatric rehabilitation and bioethics. In relation to psychiatric rehabilitation, for the past ten years or so, he has focused on the issue of personal coping and environmental support for people with schizophrenia. This work has resulted in the delineation of some adaptive coping strategies in relation to recovery from schizophrenia, and in the development of novel approaches to psychiatric rehabilitation, such as the combination of supported education and supported employment for skilled occupations and the characterization of psychiatric leisure rehabilitation. As part of that, he has recently led a CAREMH-funded study on combining supported college education with supported employment for people with mental illness.

In relation to bioethics, for the past ten years or so, he has examined challenges to standard bioethics approaches, and solutions to improve on them. This work has resulted in the development of the framework of dialogical bioethics, which addresses active participation and communication as central parts of bioethics, and in the exploration of special (personal and environmental) challenges that people with mental illnesses may have in relation to playing an active role in bioethical decision making pertaining to them. As part of that, he is leading a CIHR-funded empirical study on dialogical bioethics.

Dr. Walter Rushlow Dr. Walter Rushlow is a Basic Scientist in the Department of Psychiatry and a tenured faculty member in Anatomy and Cell Biology at SSM&D. His research work in Schizophrenia has significant implications for treatment of this disorder.

Schizophrenia is a devastating mental disorder that affects more than 300,000 Canadians and carries an economic burden in excess of six billion dollars annually. The symptoms of schizophrenia are characterized by thought disorders, hallucinations and delusions (positive symptoms) as well as social and emotional withdrawal and blunted affect (negative symptoms). In simplest terms, most individuals suffering from schizophrenia are severely handicapped and often unable to cope in society. Interpersonal skills and the ability to reason are limited and schizophrenic patients are usually unable to obtain or hold competitive full-time employment. Schizophrenic symptoms can appear at anytime during life but generally commence in the late teens or early twenties and require life-long treatment to control. The relatively early onset, typical of the disease is particularly devastating for family and friends of schizophrenic patients as they watch young, promising individuals succumb to the affliction. Though research efforts continue, little is known about the cause or progression of schizophrenia and therefore a cure for the disease is not likely in the foreseeable future. However, as our understanding of schizophrenia continues to evolve, the potential for development of new pharmaceuticals to better control the symptoms of the disorder improves.

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Research conducted in Dr. Rushlow’s laboratory is focused on identifying the molecular mechanisms responsible for the manifestation of schizophrenic symptoms in order to facilitate the development of more potent pharmaceuticals for the treatment of the disorder. To accomplish this task, animal models are used to test whether specific proteins implicated in schizophrenia may be responsible for the symptoms of the disorder. Currently, Dr. Rushlow is testing a protein called glycogen synthase kinase-3 (GSK-3) to see if it may be responsible for some of the positive symptoms of schizophrenia using a well-characterized and accepted animal model of schizophrenia for testing and comparison. Although several of the symptoms of schizophrenia, such as hallucinations and delusions, are uniquely human, they are thought to be the consequence of altered dopamine and glutamate transmission. In animals, similar disruptions cause changes in behaviour, such as locomotor activity, that can be tested and recorded. Therefore, measuring changes in locomotor activity may determine if manipulating GSK-3 or proteins that regulate GSK-3 can reverse or mimic locomotor changes seen in the amphetamine sensitization model of schizophrenia. In addition, Dr. Rushlow and his colleagues are examining the proteins levels and localization of GSK-3, and several key proteins associated with GSK-3, to determine if they correlate with behaviour. This approach will help identify proteins that are important for the symptoms of schizophrenia and may represent potential new targets for pharmaceutical intervention.

Dr. Peter Williamson Dr. Williamson holds the Tanna Schulich Chair in Neuroscience and Mental Health and is a professor in the Department of Psychiatry at the University of Western Ontario with cross-appointments at the Lawson Health Research Institute and the Robarts Research Institute. After completing his research training at the University of Toronto, he established the Neuropsychiatry Research Group which was the first in the world to measure glutamatergic metabolites in schizophrenia with magnetic resonance spectroscopy in collaboration with Dr. Dick Drost and Dr. Ravi Menon. The group has grown to include vertically integrated research programs in schizophrenia, posttraumatic stress disorders, mood and anxiety disorders and autism.

He is the author of Mind, Brain, and Schizophrenia published by Oxford University Press in 2006 which was referred to by the New England Journal of Medicine as 'compulsory reading for clinicians' and is currently writing The Human Illnesses: Neuropsychiatric Disorders and the Nature of the Human Brain with Dr. John Allman, an evolutionary biologist at the California Institute of Technology, for Oxford University Press. He has published more than 100 peer-reviewed and invited papers in journals such as the Archives of General Psychiatry and the American Journal of Psychiatry supported by grants from the Canadian Institutes of Health Research, the National Institute of Mental Health in the United States and several other agencies. He is past Chair of the Behavioural Sciences B Committee at the Canadian Institutes of Health Research and has served at the Centre for Scientific Review, National Institute of Health.

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ANNUAL RESEARCH REPORT 2009‐2010

PUBLICATIONS

PEER‐REVIEWED JOURNALS

Addington D, Norman R, Adair C, Manchanda R, McKenzie E, Mitchell B and Price C. (2009) A comparison of early psychosis treatment services using consensus and evidence‐ based performance measures: Moving towards setting standards. Early Intervention in Psychiatry 3(4):75‐79.

Amting JM, Greening SG and Mitchell DG. (2010) Multiple mechanisms of consciousness: The neural correlates of emotional awareness. Journal of Neuroscience 30(20):10039‐47.

Aoyama N, Théberge J, Drost DJ, Manchanda R, Northcott S, Neufeld RWJ, Menon R, Rajakumar N, Pavlosky WF, Densmore M, Schaefer B and Williamson P. (In press) Gray matter and social functioning correlates of glutamatergic magnetic resonance spectroscopy metabolite changes in first episode schizophrenia. Archives of General Psychiatry

Archie S, Akhtar‐Danes N, Norman RM, Malla AM, Roy P and Zipursky RB. (2010) Ethnic diversity and pathways to care for first episode of psychosis in Ontario. Schizophrenia Bulletin 36(4):688‐701.

Bahm A and Forchuk C. (2009) Interlocking oppressions: The effect of a comorbid physical disability on perceived stigma and discrimination among mental health consumers in Canada. Health and Social Care Community 17(1):63‐70.

Bamonti PM, Heisel MJ, Topciu RA, Franus N, Talbot NL and Duberstein PR. (2010) Association of alexithymia and depression symptom severity in adults aged 50 years and older. American Journal of Geriatric Psychiatry 18(1):51‐5.

Barker JN, Doubrovina E, Sauter C, Jaroscak JJ, Perales MA, Doubrovin M, Prockop SE, Koehne G and OʹReilly RJ. (2010) Successful treatment of Epstein‐Barr virus (EBV)‐ associated post‐transplant lymphoma after cord blood transplant using third‐party EBV‐ specific cytotoxic T‐lymphocytes. Blood 116:5045‐5049.

Barry RL, Williams JM, Klassen LM, Gallivan JP, Culham JC and Menon RS. (2010) Evaluation of pre‐processing steps to compensate for magnetic field distortions due to body movements in BOLD fMRI. Magnetic Resonance Imaging 28(2):235‐44.

Beck AT and Dozois DJ. (In press) Cognitive Therapy: Current Status and Future Directions. Annual Reviews in Medicine

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Berman H, Mulcahy GA, Forchuk C, Edmunds KA, Haldenby A and Lopez R. (2009) Uprooted and displaced: a critical narrative study of homeless, Aboriginal, and newcomer girls in Canada. Issues Ment Health Nurs 30(7):418‐30.

Bernier D, Bartha R, Devarajan S, Macmaster FP, Schmidt MH and Rusak B. (2009) Effects of overnight sleep restriction on brain chemistry and mood in women with unipolar depression and healthy controls. J Psychiatry Neurosci 34(5):352‐60.

Biswal BB, Mennes M, Zuo X‐N, Gohel, S., Kelly C, Smith SM, Beckmann CF, Adelstein JS, Buckner RL, Colcombe S, Dogonowski A‐M, Ernst M, Fair D, Hampson M, Hoptman MJ, Hyde JS, Kiviniemi VJ, Kotter R, Li S‐J, Lin C‐P, Lowe MJ, Mackay CM, D.J., Madsen KH, Margulies DS, Mayberg HS, McMahon KL, Monk CS, Mostofsky SH, Nagel BJ, Pekar JJ, Peltier SJ, Petersen SE, Riedl V, Rombouts SARB, Rypma B, Schlaggar BL, Schmidt S, Seidler RD, Siegle GJ, Sorg C, Teng G‐J, Veijola J, Villringer A, Walter M, Wang L, Weng X‐C, Whitfield‐Gabrieli S, Williamson P, Windischberger C, Zang Y‐F, Zhang H‐Y, Castellanos FX and Milham MP. (2010) Toward discovery science of human brain function. Proceedings of the National Academy of Science USA 107:4734‐4739.

Black E and Ross T. (2009) Moving forward: Evaluating a curriculum for managing responsive behaviors in a geriatric psychiatry inpatient population. Gerontologist 49:570‐576.

Bluhm R, Williamson P, Lanius R, Théberge J, Densmore M, Bartha R, Neufeld R and Osuch E. (2009) Resting state default‐mode network connectivity in early depression using a seed region‐of‐interest analysis: decreased connectivity with caudate nucleus. Psychiatry and Clinical Neuroscience 63(6):754‐61.

Bluhm RL, Clark CR, McFarlane AC, Moores KA, Shaw ME and Lanius RA. (In press) Default network connectivity during a working memory task. Human Brain Mappings

Bluhm RL, Miller J, Lanius RA, Osuch EA, Boksman K, Neufeld RW, Théberge J, Schaefer B and Williamson PC. (2009) Retrosplenial cortex connectivity in schizophrenia. Psychiatry Research:Neuroimaging 174(1):17‐23.

Bluhm RL, Williamson PC, Osuch EA, Frewen PA, Stevens TK, Boksman K, Neufeld RW, Théberge J and Lanius RA. (2009) Alterations in default network connectivity in posttraumatic stress disorder related to early‐life trauma. Journal of Psychiatry and Neuroscience 34(3):187‐94.

Brinker JK and Dozois DJ. (2009) Ruminative thought style and depressed mood. Journal of Clinical Psychology 65(1):1‐19.

Brooks SA and OʹReilly RL. (2010) Mental Health Legislation: Committal (CPA discussion paper). Canadian Journal of Psychiatry 55(4):Insert 1‐6.

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Brun CC, Nicolson R, Lepor N, Chou YY, Vidal CN, DeVito TJ, Drost DJ, Williamson PC, Rajakumar N, Toga AW and Thompson PM. (2009) Mapping brain abnormalities in boys with autism. Human Brain Mapping 30(12):3887‐900.

Campbell DW, Sareen J, Stein MB, Kravetsky LB, Paulus MP, Hassard ST and Reiss JP. (2009) Happy but not so approachable: The social judgments of individuals with generalized social phobia. Depression and Anxiety 26(5):419‐24.

Campbell M, Neil JA, Jaffe PG and Kelly T. (2010) Engaging abusive men in seeking community intervention: A critical research & practice priority. Journal of Family Violence 25(4):413‐422.

Cassidy CM, Norman R, Manchanda R, Schmitz N and Malla A. (2010) Testing definitions of symptom remission in first‐episode psychosis for prediction of functional outcome at 2 years. Schizophr Bull 36(5):1001‐1008.

Charland LC. (2010) Science and morals in the affective psychopathology of Philippe Pinel. History of Psychiatry 21(1):38‐51.

Charland LC. (in press) Moral undertow and the passions: Two challenges for Contemporary emotion regulation. Emotion Rev

Chiu S. (2009) Pharmacology of ginseng: From stress bugger to putative antidepressant. Journal of Complementary and Alternative Medicine (e‐pub)

Chiu S, Cernovsky Z, Sadek G, Copen J, Husni M and Southam L. (2009) Exploring complementary and alternative medicine (CAM) in pathological gambling. Bulletin of the Canadian Society of Addiction Medicine 13:4.

Chiu S, Husni M, Copen J, Cernovsky Z, Lalone S, Foskett A, Goble L and Sidhu GS. (2010) New perspectives on gene‐environment interactions in schizophrenia. Journal of Psychiatry (e‐pub)

Coleman BL, Gutmanis I, Larsen LL, Leffley AC, McKillop JM and Rietdyk AE. (2009) Introduction of solid foods: Do mothers follow recommendations? Canadian Journal of Dietetic Practice and Research 70(3):135‐40.

Corring D, Johnston M and Rudnick A. (In press) The effects of a supported program for horseback riding on inpatients diagnosed with schizophrenia: A qualitative exploratory study. American Journal of Recreation Therapy

Corring D, Johnston M and Rudnick A. (In press) Horseback riding for inpatients with schizophrenia. American Journal of Therapeutic Recreation

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Covin R, Dozois DJA, Ogniewicz A and Seeds PM. (In press) Measuring cognitive errors: Initial development of the Cognitive Distortions Scale (CDS). International Journal of Cognitive Therapy

Crilly RG, Hillier LM, Mason M, Gutmanis I and Cox L. (2010) Prevention of hip fractures in long‐term care: relevance of community‐derived data. Journal of the American Geriatric Society 58(4):738‐45.

Daniels JK, Frewen P, McKinnon MC and Lanius RA. (In press) Default mode alterations in posttraumatic stress disorder related to early‐life trauma: A developmental perspective. Journal of Psychiatry and Neuroscience

Daniels JK, McFarlane A, Bluhm RL, Moores KA, Clark CR, Shaw ME, Williamson PC and Lanius RA. (In press) Switching between executive and default mode network in PTSD: Alterations in functional connectivity. Journal of Psychiatry and Neuroscience

Daniels JK, Sanderson MJ, Coupland NJ, Kao R, Williamson PC, Schore A, Lanius UF, Densmore M and Lanius RA. (In press) The effects of trauma‐related cues on pain processing in PTSD: A fMRI investigation. Journal of Psychiatry and Neuroscience

Diachun LL. (2009) Medical Education Committee of the Canadian Geriatrics Society: Core Competencies in the Care of Older Persons for Canadian Medical Students. Canadian Journal of Geriatrics 12(2):70‐73.

Diachun LL, VanBussel L, Hansen K, Charise A and Rieder M. (2010) ʺBut I see old people everywhereʺ: Dispelling the myth that elder care is learned in non‐geriatric clerkships. Journal of Academic Medicine 85(7):1221‐1228.

Dozois DJ, Bieling PJ, Patelis‐Siotis I, Hoar L, Chudzik S, McCabe K and Westra HA. (2009) Changes in self‐schema structure in cognitive therapy for major depressive disorder: a randomized clinical trial. Journal of Consulting and Clinical Psychology 77(6):1078‐88.

Dozois DJA. (In press) Understanding and enhancing the effects of homework in cognitive behavioral therapy. Clinical Psychology:Science and Practice

Dozois DJA, Seeds PM and Collins KA. (2009) Transdiagnostic approaches to the prevention of depression and anxiety. Journal of Cognitive Psychotherapy 23(1):44‐59.

Duberstein PR, Ma Y, Chapman BP, Conwell Y, McGriff J, Coyne JC, Franus N, Heisel MJ, Kaukeinen KA, Sorensen S, Tu XM and Lyness JM. (In press) Detection of depression in older adults by family and friends: Distinguishing mood disorder signals from the noise of personality and everyday life. International Journal of Psychogeriatrics 1‐10.

Duggal N, Rabin D, Bartha R, Barry RL, Gati JS, Kowalczyk I and Fink M. (2010) Brain reorganization in patients with spinal cord compression evaluated using fMRI. Neurology 74(13):1048‐54. 2009-2010 Department of Psychiatry Annual Report 59

Edwards KR, Martin RA and Dozois DJA. (2010) The fear of being laughed at, social anxiety, and memories of being teased during childhood. Psychological Test and Assessment Modeling 52:94‐107.

Eichstedt J, Tobon JI, Phoenix E and Wolfe V. (In press) Worried no more: The effects of medication status on treatment response to a CBT group for children with anxiety in a community setting. Clinical Child Psychology and Psychiatry

Engdahl RM, Elhai JD, Richardson JD and Frueh BC. (In press) Comparing posttraumatic stress disorderʹs symptom structure between deployed and non‐deployed veterans. Psychological Assessment

Enns MW, Reiss JP and Chan P. (2010) Electroconsvulsive Therapy. Position Paper of the Canadian Psychiatric Association. Canadian Journal of Psychiatry 55(6):1‐12 (insert).

Fikretoglu D, Elhai JD, Liu A, Richardson JD and Pedlar DJ. (2009) Predictors of likelihood and intensity of past‐year mental health service use in an active Canadian military sample. Psychiatric Services 60(3):358‐66.

Forchuk C, Jensen E, Csiernik R, Ward‐Griffin C, Ray S, Montgomery P and Wan L. (2009) Exploring differences between community‐based women and men with a history of mental illness. Issues in Mental Health Nurs 30(8):495‐502.

Forchuk C, Montgomery P, Berman H, Ward‐Griffin C, Csiernik R, Gorlick C, Jensen E and Riesterer P. (2010) Gaining ground, losing ground: The paradoxes of rural homelessness. Canadian Journal of Nursing Research 42(2):138‐152.

Ford KA and Everling S. (2009) Neural activity in primate caudate nucleus associated with pro‐ and antisaccades. Journal of Neurophysiology 102(4):2334‐41.

Ford KA, Gati JS, Menon RS and Everling S. (2009) BOLD fMRI activation for anti‐saccades in nonhuman primates. Neuroimage 45(2):470‐6.

Frewen PA, Dozois DJ, Neufeld RW, Densmore M, Stevens TK and Lanius RA. (In press) Neuroimaging social emotional processing in women: fMRI study of script‐driven imagery. Social and Cognitive Affective Neuroscience

Frewen PA, Dozois DJA, Neufeld R, Densmore M, Stevens TK and Lanius RA. (In press) A self‐referential processing in women with PTSD: Affective and neural response. Psychological Trauma: Theory, Research, Practice & Policy

Frewen PA, Dozois DJA, Neufeld R, Densmore M, Stevens TK and Lanius RA. (In press) Social emotions and emotional valence during imagery in women with PTSD: Affective and neural correlates. Psychological Trauma: Theory, Research, Practice & Policy

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Frewen PA, Dozois DJA, Neufeld RWJ, Lane RD, Densmore M, Stevens TK and Lanius RA. (2010) Individual differences in trait mindfulness predict dorsomedial prefrontal and amygdala response during emotional imagery: An fMRI study. Personality and Individual Differences 49:479‐484.

Frewen PA and Lanius RA. (2010) Non‐idiographic emotional script‐driven imagery in posttraumatic stress disorder: Impact of priming of episodic recall and self‐referential processing. Journal of Psychology 218(2).

Gearing RE, Mian IS, A., Barber J, Nicholas D, Lewis R, Solomon L, William C, Lightbody S, Steele M, Davidson B, Manchanda R, Joseph L, Handleman K and Ickowicz A. (2009) Developing a risk‐model of time to first‐relapse for children and adolescents diagnosed with primary psychotic disorders or mood disorders with psychotic features. Journal of Nervous and Mental Disorders 197(1):6‐14.

Gilbert KM, Gati JS, Klassen LM and Menon RS. (2010) A cradle‐shaped gradient coil to expand the clear‐bore width of an animal MRI scanner. Phys Med Biol 55(2):497‐514.

Gray JE and OʹReilly RL. (2009) Supreme Court of Canadaʹs ʺBeautiful Mindʺ case. Internal Journal of Law and Psychiatry 32(5):315‐22.

Greening SG, Finger EC and Mitchell DG. (In press) Parsing decision making processes in prefrontal cortex: Response inhibition, overcoming learned avoidance, and reversal learning. Neuroimage

Guaiana G. (2010) Past or current drug or alcohol use disorders increase the likelihood of a switch from depressive to manic, mixed or hypomanic states in patients with bipolar disorder. Evidence Based Mental Health 13(3):78.

Hegadoren KM, OʹDonnell T, Lanius R, Coupland NJ and Lacaze‐Masmonteil N. (2009) The role of beta‐endorphin in the pathophysiology of major depression. Neuropeptides 43(5):341‐ 53.

Heisel MJ, Duberstein PR, Lyness JM and Feldman MD. (2010) Screening for suicide ideation among older primary care patients. Journal of the American Board of Family Medicine 23(2):260‐9.

Higaki Y, Watanabe I, Masaki T, Kamo T, Kawashima M, Satoh T, Saitoh S, Nohara M and Gupta MA. (2009) Japanese version of cutaneous body image scale: Translation and validation. Journal of Dermatology 36(9):477‐84.

Jaffe PG, Ashbourne D and Mamo AA. (2010) Early identification and prevention of parent child alienation: A framework for balancing risks and benefits of intervention. Family Court Review 48(1):136‐152.

2009-2010 Department of Psychiatry Annual Report 61

Jaffe PG, Crooks CV and Bala N. (2009) A framework for addressing allegations of domestic violence in child custody disputes. Journal of Child Custody 6(3):169‐188.

Johnston K, DeSouza JF and Everling S. (2009) Monkey prefrontal cortical pyramidal and putative interneurons exhibit differential patterns of activity between prosaccade and antisaccade tasks. Journal of Neuroscience 29(17):5516‐24.

Johnston K and Everling S. (2009) Task‐relevant output signals are sent from monkey dorsolateral prefrontal cortex to the superior colliculus during a visuospatial working memory task. Journal of Cognitive Neuroscience 21(5):1023‐38.

Jones CK, Li AX, Suchý M, Hudson RH, Menon RS and Bartha R. (2010) In vivo detection of PARACEST agents with relaxation correction. Magnetic Resonance in Medicine 63(5):1184‐ 92.

Kelly E and Sharma V. (2010) Diagnosis and treatment of postpartum bipolar depression. Expert Review of Neurotherapeutics 10(7):1045‐1051.

King G, Servais M, Forchuk C, Chalmers H, Currie M, Law M, Specht J, Rosenbaum P, Willoughby T and Kertoy M. (2010) Features and impacts of five multidisciplinary community‐university research partnerships. Health and Social Care in the Community 18(1):59‐69.

King G, Servais M, Kertoy M, Specht J, Currie M, Rosenbaum P, Law M, Forchuk C, Chalmers H and Willoughby T. (2009) A measure of community membersʹ perceptions of the impacts of research partnerships in health and social services. Evaluation and Program Planning 32(3):289‐299.

Lamoure J, Stovel J and Chandarana P. (2010) Probable Topiramate‐induced hemiparesis. Canadian Journal of Hospital Pharmacists 63(3):242‐244.

Lanius RA, Bluhm RL, Coupland NJ, Hegadoren KM, Rowe B, Théberge J, Neufeld RW, Williamson PC and Brimson M. (2010) Default mode network connectivity as a predictor of post‐traumatic stress disorder symptom severity in acutely traumatized subjects. Acta Psychiatrica Scandinavica 121(1):33‐40.

Lanius RA, Brewin CR, Bremner JD, Daniels JK, Friedman MJ, Liberzon I, McFarlane A, Schnurr PP, Shin L, Stein M and Vermetten E. (2010) Does neuroimaging research examining the pathophysiology of posttraumatic stress disorder require medication‐free patients? Journal of Psychiatry and Neuroscience 35(2):80‐9.

Lanius RA, Vermetten E, Loewenstein RJ, Brand B, Schmahl C, Bremner JD and Spiegel D. (2010) Emotion modulation in PTSD: Clinical and neurobiological evidence for a dissociative subtype. American Journal of Psychiatry 167(6):640‐7.

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Li AX, Suchý M, Jones CK, Hudson RH, Menon RS and Bartha R. (2009) Optimized MRI contrast for on‐resonance proton exchange processes of PARACEST agents in biological systems. Magnetic Resonance in Medicine 62(5):1282‐91.

Ludascher P, Valerius G, Stiglmayr C, Mauchnik J, Lanius RA, Bohus M and Schmahl C. (2010) Pain sensitivity and neural processing during dissociative states in patients with borderline personality disorder with and without comorbid posttraumatic stress disorder: A pilot study. J Psychiatry Neurosci 35(3):177‐84.

MacMillan HL, Wathen CN, Jamieson E, Boyle MH, Shannon HS, Ford‐Gilboe M, Worster A, Lent B, Coben JH, Campbell JC, McNutt LA, (Gutmanis I and McMaster Violence Against Women Group). (2009) Screening for intimate partner violence in health care settings: A randomized trial. Journal of the American Medical Association 302(5):493‐501.

McDonald P, OʹReilly R and Singh S. (In press) Methylation analysis of the NOTCH4‐25 C/T polymorphism in schizophrenia. Psychiatric Genetics

Mickleborough MJ, Daniels JK, Coupland NJ, Kao R, Williamson PC, Lanius UF, Hegadoren K, Schore A, Densmore M, Stevens T and Lanius RA. (In press) Effects of trauma‐related cues on pain processing in posttraumatic stress disorder: an fMRI investigation. Journal of Psychiatry and Neuroscience

Montero‐Odasso M, Casas A, Hansen KT, Bilski P, Gutmanis I, Wells JL and Borrie MJ. (2009) Quantitative gait analysis under dual‐task in older people with mild cognitive impairment: a reliability study. Journal of Neuroengineering and Rehabilitation 6:35.

Montgomery P, Forchuk C, Gorlick C and Csiernik R. (In press) Rural womenʹs strategies for seeking mental health and housing services. Rural Womenʹs Health in Canada.

Morley M, Jones C, Sidhu M, Gupta V, Bernier SM, Rushlow WJ and Belliveau DJ. (2010) PKC inhibition increases gap junction intercellular communication and cell adhesion in human neuroblastoma. Cell & Tissue Research 340:229‐242.

Naifeh JA, Richardson JD, Del Ben KS and Elhai JD. (2010) Heterogeneity in the latent structure of PTSD symptoms among Canadian veterans. Psychological Assessment 22(3):666‐ 74.

Near J, Romagnoli C, Curtis AT, Klassen LM, Izawa J, Chin J and Bartha R. (2009) High‐field MRSI of the prostate using a transmit/receive endorectal coil and gradient modulated adiabatic localization. J Magn Reson Imaging 30(2):335‐43.

Nelson C, Johnston M and Shrivastava A. (2010) Improving risk assessment with suicidal patients: A preliminary evaluation of the clinical utility of the Scale for Impact of Suicidality‐ Management‐Assessment and Planning of Care (SIS‐MAP). J Clin Psychol Prac 1:19‐26.

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Nelson C, Johnston M and Shrivastava A. (In press) Improving risk assessment with suicidal patients: A preliminary evaluation of the clinical utility of the Scale for Impact of Suicidality‐Management, Assessment and Planning of care (SIS‐MAP). Crisis

Nisenbaum R, Links PS, Eynan R and Heisel MJ. (2010) Variability and predictors of negative mood intensity in patients with borderline personality disorder and recurrent suicidal behavior: multilevel analyses applied to experience sampling methodology. Journal of Abnormal Psychology 119(2):433‐9.

Noftle J, Cook S, Leschied AW, St. Pierre J, Stewart SL and Johnson A. (In press) The trajectory of change for children and youth in residential treatment: Implications for policy and program. Journal of Child Psychiatry and Human Development

Norman RM, Sorrentino RM, Windell D, Ye Y, Szeto AC and Manchanda R. (2010) Predicting behavioral intentions to those with mental illness: The role of attitude specificity and norms. International Journal of Social Psychiatry 56(3):239‐254.

Norman RMG, Gawronski B, Hampson E, Sorrentino R, Szeto AC and Ye Y. (In press) Physical proximity in anticipation of meeting someone with schizophrenia: The role of explicit evaluations, implicit evaluations and cortisol levels. Schizophrenia Research

Norman RMG, Sorrentino RM, Gawronski B, Szeto ACH, Ye Y and Windell D. (In press) Attitudes and physical distance to an individual with schizophrenia: The moderating effect of self‐transcendent values. Social Psychiatry & Psychiatric Epidemiology.

Norman RMG, Windell D and Manchanda R. (In press) Examining differences in the stigma of depression and schizophrenia. International Journal of Social Psychiatry

Okada T, Steele M, Kodaira M and Nara C. (2009) ADHD Treatment: Functional remission as goal of therapy. Japanese Journal of Clinical Psychopharmacology 12:2555‐2570.

OʹReilly RL, Chaimowitz G, Brunet A, Looper K and Beck P. (2010) Principles underlying mental health legislation. Canadian Journal of Psychiatry 55(10):1‐5.

Ouimet AJ, Gawronski B and Dozois DJ. (2009) Cognitive vulnerability to anxiety: A review and an integrative model. Clinical Psychology Review 29(6):459‐470.

Penner J, Rupsingh R, Smith M, Wells JL, Borrie MJ and Bartha R. (2010) Increased glutamate in the hippocampus after galantamine treatment for Alzheimer disease. Progress in Neuro‐Psychopharmacology & Biological Psychiatry 34(1):104‐110.

Phillips JM, Johnston K and Everling S. (In press) Effects of anterior cingulate microstimulation on pro‐ and antisaccades in nonhuman primates. Journal of Cognitive Neuroscience 23(2):481‐90.

2009-2010 Department of Psychiatry Annual Report 64

Polimeni JO, Campbell DW, Gill D, Sawatzky BL and Reiss JP. (2010) Diminished humour perception in schizophrenia: relationship to social and cognitive functioning. Journal of Psychiatric Research 44(7):434‐440.

Rich BA, Brotman MA, Dickstein DP, Mitchell DG, Blair RJ and Leibenluft E. (2010) Deficits in attention to emotional stimuli distinguish youth with severe mood dysregulation from youth with bipolar disorder. Journal of Abnormal Child Psychology 38(5):695‐706.

Richardson JD, Sareen J and Elhai JD. (2010) Psychiatric problems in medically evacuated service members [Comment]. The Lancet 375(9711):257‐9.

Richardson JD, Thompson JM, Boswall M and Jetly R. (2010) Horror comes home: Veterans with posttraumatic stress disorder. Canadian Family Physician 56(5):430‐3, e169‐73.

Roe D, Gross R, Kravetz S, Baloush‐Kleinman V and Rudnick A. (2009) Assessing psychiatric rehabilitation service (PRS) outcomes in Israel: Conceptual, professional and social issues. The Israel Journal of Psychiatry and Related Sciences 46(2):103‐10.

Roe D, Telem A, Baloush‐Klienman V, Gelkopf M and Rudnick A. (2010) What are the required competencies of the ʺeffectiveʺ psychiatric rehabilitation practitioner? Comparing perspectives of service users, service providers and family members. International Journal of Psychosocial Rehabilitation 14:81‐93.

Rudnick A and Gover M. (2009) Combining supported education with supported employment. Psychiatric Services 60(12):1690.

Rudnick A, Rofe T, Virtzberg‐Rofe D and Scotti P. (In press) Supported reporting of first Person accounts: Assisting people who have mental health challenges in writing and publishing reports about their lived experience. Schizophrenia Bulletin

Rushlow WJ, Seah C, Sutton LP, Bjelica A and Rajakumar N. (2009) Antipsychotics affect multiple calcium calmodulin dependent proteins. Neuroscience 161(3):877‐86.

Sadek G, Chiu S, Cernovsky Z and Mansour S. (In press) Sleep of methadone patients and their urine screening tests. Canadian Journal of Addiction

Sander V, Soper B and Everling S. (2010) Nonhuman primate event‐related potentials associated with pro‐ and anti‐saccades. Neuroimage 49(2):1650‐8.

Scornaiencki R, Cantrup R, Rushlow WJ and Rajakumar N. (2009) D1 receptor modulation of prefrontal cortical stress responsivity. International Journal of Neuropharmacology 11:1‐14.

Scornaiencki R, Cantrup R, Rushlow WJ and Rajakumar N. (2009) Prefrontal cortical D1 dopamine receptors modulate subcortical D2 dopamine receptor‐mediated stress responsiveness. International Journal of Neuropsychopharmacol 12(9):1195‐208.

2009-2010 Department of Psychiatry Annual Report 65

Seeds PM and Dozois DJ. (In press) Prospective evaluation of a cognitive vulnerability‐ stress model for depression: The interaction of schema self‐structures and negative life events. J Clin Psychol

Shanahan MJ and Neufeld RW. (2010) Coping with stress through decisional control: Quantification of negotiating the environment. The British Journal of Mathematical and Statistical Psychology 63(Pt 3):575‐601.

Sharma V. (In press) Detection and management of bipolar postpartum depression. Current Psychiatry Review

Sharma V and Khan M. (2010) Identification of bipolar disorder in women with postpartum depression. Bipolar Disorders 12(3):335‐40.

Sharma V and Penava D. (2010) Screening for bipolar disorder during pregnancy and the postpartum period. Journal of Obstetrics and Gynaecology Canada 32:278‐280.

Shrivastava A. (2010) Initiatives in biological research in Indian Psychiatry. Indian Journal of Psychiatry 52 (suppl)

Shrivastava A and Johnston M. (2010) Lessons learned from Prodromal Research: Bringing early identification and intervention in public health psychiatry. Indian Journal of Social Psychiatry 26(1‐2):16‐23.

Shrivastava A, Johnston M and Ming T. (In press) Cannabis use and cognitive dysfunction. Indian Journal of Psychiatry.

Shrivastava A, Johnston M, shah N, Thakar M and Stitt L. (In press) Cognitive dysfunction following recovery from schizophrenia: A ten‐year follow‐up study. Journal of Psychiatric Practice

Shrivastava A, Johnston M, Shah N, Thakar M and Stitt L. (In press) Social outcome in clinically recovered first episode schizophrenia in a naturalistic 10 year follow‐up study in India. Clinical Schizophrenia and Related Psychosis

Shrivastava A and Johnston ME. (2010) Cognitive neuroscience: A new paradigm in management and outcome of schizophrenia. Indian J Psychiatry 52:100‐105.

Shrivastava A and Johnston ME. (2010) Weight gain in psychiatric treatment: Risks, implications, and strategies for prevention and management. Psychopharmacology Today MSM 8:53‐68.

Shrivastava A, Johnston ME, Shah N, Innamorati M, Stitt L, Thakar M, Lester D and Pompili M. (2010) Persistent suicide risk in clinically improved schizophrenia patients: Challenge of the suicidal dimension. Neuropsychiatr Dis Treat 6:633‐8.

2009-2010 Department of Psychiatry Annual Report 66

Shrivastava A, Johnston ME, Thankar M, Shrivastava S, Sarkhel G, Sunita I, Shah N and Parkar S. (In press) Origin and impact of stigma and discrimination in schizophrenia‐‐ patientʹs perception: Mumbai study. Stigma Research and Action

Shrivastava A, McGorry PD, Tsuang M, Woods, S.W., Cornblatt, B.A., Corcoran C and Carpenter W. (In press) ‘Attenuated psychotic symptoms syndrome’ as a risk syndrome of psychosis, diagnosis in DSM‐V: The debate. Indian J Psychiatry

Shrivastava A and Natrajan D. (2010) Psychiatrists and neuroscientists from Indian origin in Canada: Glimpses. Indian Journal of Psychiatry 52:564‐567.

Shrivastava A, Shah N, Johnston M, Stitt L and Thakar M. (In press) Predictors of long‐term outcome of first episode schizophrenia: A ten‐year follow‐up study. Indian J Psychiatry

Shrivastava A, Shah N, Johnston M, Stitt L, Thakar M and Chinnasamy G. (2010) Effects of duration of untreated psychosis on long‐term outcome of people hospitalized with first episode schizophrenia. Indian J Psychiatry 52(2):164‐7.

Shrivastava A and Stitt L, et al. (In press) Persisting symptoms in recovered schizophrenia patients in long term follow‐up. Asian Journal of Psychiatry

Shrivastava A, Stitt L, Thakar M, Shah N and Chinnasamy G. (2009) The abilities of recovered schizophrenia patients to work and live independently in community: Results of a ten‐year long‐term outcome study of schizophrenia in Mumbai. Annals of General Psychiatry 8(1):24.

Singh SM, Castellani CA and OʹReilly RL. (2009) Copy number variation showers in schizophrenia: An emerging hypothesis. Mol Psychiatry 14(4):356‐8.

Smithies M, Bettger‐Hahn M, Forchuk C and Brackstone M. (2009) Telephone contact intervention in women undergoing treatment for breast cancer. Can Oncol Nurs J 19(3):122‐ 128.

Solomon L, OʹReilly R, Nikolic M and Gray JE. (2009) Treatment delayed ‐ liberty denied. Canadian Bar Review 87(3):679‐719.

Stead R, Shanahan S and Neufeld RWJ. (2010) ʺIʹll go to therapy eventuallyʺ: Procrastination, stress and mental health. Personality and Individual Differences 49:175‐180.

Stewart SL, Theall‐Honey L, Armieri A and Cullin C. (In press) Predicting the utilization of intrusive interventions at a tertiary residential treatment centre. Resid Treat Child Youth

Stovel J and Lamoure J. (2010) Constipation in children. Pharmacy Practice 26(2):36‐47.

2009-2010 Department of Psychiatry Annual Report 67

Stretch N, Steele M, Davidson B, Andreychuk R, Sylvester H, Rourke J and Dickie G. (2009) Teaching childrenʹs mental health to family physicians in rural and underserviced areas. Canadian Journal of Rural Medicine 14(3):96‐100.

Subramanian P and Burhan AM. (In press) Worsening of ʹpassivityʹ symptoms with low‐ frequency bilateral temporo‐parietal repetitive transcranial magnetic stimulation used to treat refractory auditory hallucinations: A Case Report. Schizophrenia Research

Subramanian R and Rudnick A. (2010) Risperidone for individuals with treatment refractory schizophrenia. Clinical Medicine: Therapeutics 2:401‐406.

Suchý M, Li AX, Bartha R and Hudson RHE. (2009) A bifunctional chelator featuring the DOTAM‐Gly‐L‐Phe‐OH structural subunit: En route toward homo‐ and heterobimetallic lanthanide(III) complexes as PARACEST‐MRI contrast agents. Tetrahedron Letters S1(7):1089‐ 1090.

Suchý M, Ta R, Li AX, Wojciechowski F, Pasternak SH, Bartha R and Hudson RH. (2010) A paramagnetic chemical exchange‐based MRI probe metabolized by cathepsin D: design, synthesis and cellular uptake studies. Organic & Biomolecular Chemistry 8(11):2560‐6.

Swart GT, Siman E and Stewart SL. (In press) The use of PRN medication for behavioural control: A summary of experience at a tertiary care childrenʹs mental health centre. Journal of Child & Adolescent Psychopharmacology.

Takhar J, Campbell C and Eadie J. (2009) Redefining the Self‐Assessment Program. Journal of Continuing Education in the Health Professions (JCEHP): Innovations Feature Section 29(3):190‐ 191.

Tam S, Barry RL, Bartha R and Duggal N. (2010) Changes in functional magnetic resonance imaging cortical activation after decompression of cervical spondylosis: case report. Neurosurgery 67(3):E863‐4.

Thombs BD, Ziegelstein RC, Pilote L, Dozois DJ, Beck AT, Dobson KS, Fuss S, de Jonge P, Grace SL, Stewart DE, Ormel J and Abbey SE. (2010) Somatic symptom overlap in Beck Depression Inventory‐II scores following myocardial infarction. British Journal of Psychiatry 197(1):61‐6.

Tobon JI, Ouimet AJ and Dozois DJA. (In press) Attentional bias in anxiety disorders following cognitive behavioral treatment. Journal of Cognitive Psychotherapy: An International Quarterly.

Townsend JT and Neufeld RWJ. (2010) Introduction/Forward to Special Issue on contributions of mathematical psychology to clinical science and assessment. Journal of Mathematical Psychology 54:1‐4.

2009-2010 Department of Psychiatry Annual Report 68

Tremblay PF and Dozois DJA. (2009) Another perspective on trait aggressiveness: Overlap with early maladaptive schemas. Personality and Individual Differences 46(5‐6):569‐574.

Tubban J, St. Pierre J, Stewart SL, Leschied AW and Cook S. (2010) Families of children with serious emotional disorder: Maternal reports on the decision and impact of their childʹs placement in residential treatment. Resid Treat Child Youth 27(3):191‐213.

Wada K and Rudnick A. (In press) The risk‐related approach to assessment of capacity to consent or refuse medical treatment: A critical view. International Journal of Ethics 6(4).

Wathen CN, Tanaka M, Catallo C, Lebner AC, Friedman MK, Hanson MD, Freeman C, Jack SM, Jamieson E, Macmillan HL, (Gutmanis I and McMaster IPV Education Research Team). (2009) Are clinicians being prepared to care for abused women? A survey of health professional education in Ontario, Canada. BMC Medical Education 9:34.

Westra H, Constantino MJ, Arkowitz H and Dozois DJA. (In press) Therapist effects in cognitive behavioral therapy for generalized anxiety disorder. A pilot study. Psychotherapy

Westra HA, Arkowitz H and Dozois DJ. (2009) Adding a motivational interviewing pretreatment to cognitive behavioral therapy for generalized anxiety disorder: A preliminary randomized controlled trial. Journal of Anxiety Disorders 23(8):1106‐17.

Wolfe DA, Crooks C, Jaffe PG, Chiodo D, Hughes R, Ellis W, Stitt L and Donner A. (2009) A school‐based program to prevent adolescent dating violence: A cluster randomized trial. Archives of Pediatric & Adolescent Medicine 163(8):692‐9.

Wolfe DA, Jaffe PG, Leschied AW and Legate BL. (2010) Assessing historical abuse allegations and damages. Child Abuse & Neglect 34(3):135‐43.

Womelsdorf T, Johnston K, Vinck M and Everling S. (In press) Theta‐activity in anterior cingulate cortex predicts task rules and their adjustments following errors. Proceedings of the National Academic of Science USA 107(11):5248‐53.

Womelsdorf T, Vinck M, Leung LS and Everling S. (In press) Selective theta synchronization of choice relevant information subserves goal‐directed behavior. Frontiers in Human Neuroscience.

Yatham L, Kennedy SH, Schaffer A, Parikh SA, Beaulieu S, OʹDonovan C, MacQueen G, McIntyre RS, Sharma V, Ravindran A, Young T, Young AH, Alda A, Milev R, Vieta E, Calabrese J, Berk M, Ha K and Kapczinski F. (2009) Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) Collaborative Update of CANMAT Guidelines for the Management of Patients with Bipolar Disorders: Update 2009. Bipolar Disorders 11(3):225‐255.

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BOOKS AND BOOK CHAPTERS

Charland LC. (2010) Reinstating the passions: Lessons from the history of psychopathology. In: Goldie P. The Oxford Handbook for the Philosophy of Emotion, Oxford:Oxford University Press, pp. 237‐263.

Charland LC. (In press) Decisional capacity and responsibility in addiction. In: Poland J and Graham G. Responsibility and Addiction. Cambridge, MA:MIT Press.

Charland LC. (In press) Moral treatment in the eighteenth and nineteenth century. In: Rudnick A and Roe D. Serious mental illness: Patient‐centered approaches. Oxford:Radcliffe Publishing Ltd.

Crooks C, Jaffe PG and Bala N. (2010) Factoring in the effects of childrenʹs exposure to domestic violence in determining appropriate postseparation parenting plans. In: Hannah MT and Goldstein B. Domestic Violence, Abuse, and Child Custody: Legal Strategies and Policy Issues. Kingston, NJ:Civic Research Institute Inc., pp. 22.1‐22.52.

Dozois DJA. (2010) Concepts of abnormality throughout history. In: Dozois DJA and Firestone P. Abnormal Psychology: Perspectives, 4th Ed. Toronto, Ontario:Pearson, pp. 1‐21.

Dozois DJA and Beck AT. (In press) Cognitive therapy. In: Herbert JD and Forman EM,. Cognitive behavioral therapy, acceptance, mindfulness: Understanding and applying the new therapies. New York, NY:Wiley.

Dozois DJA and Bieling PJ. (In press) Cognitive behavioral treatment of depression. In: Hofmann S and Reinecke MA. Cognitive‐behavior therapy with adults: A guide for assessment, conceptualization, and intervention. Cambridge, UK:Cambridge University Press.

Dozois DJA and Dobson KS. (2010) Depression. In: Antony MM and Barlow DH. Handbook of assessment and treatment planning for psychological disorders, 2nd Ed. New York, NY:Guilford Press; USA, pp. 344‐389.

Dozois DJA, Frewen PA and Covin R. (2010) Anxiety disorders. In: Dozois DJA and Firestone P, Abnormal Psychology: Perspectives, 4th Ed. Toronto, Ontario:Pearson.

Dozois DJA, Hoaken PN and Firestone P. (2010) Classification and diagnosis. In: Dozois DJA and Firestone P, Abnormal Psychology: Perspectives, 4th Ed. Toronto, Ontario:Pearson, pp. 44‐58.

Dozois DJA and Ouimet AJ. (2010) Theoretical perspectives on abnormal behaviour. In: Dozois DJA and Firestone P. Abnormal Psychology: Perspectives, 4th Ed. Toronto, Ontario:Pearson, pp. 22‐43.

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Dozois DJA, Seeds PM and Firestone P. (2010) Psychological assessment and research methods. In: Dozois DJA and Firestone P. Abnormal Psychology: Perspectives, 4th Ed. Toronto, Ontario:Pearson, pp. 59‐89.

Dryden T, Atack L, Gibson M and Neilson S. (2010) National and cross‐national models of geriatric disaster preparedness: The Canadian context. In: Toner JA, Mierswa TM and Howe JL. New York Geriatric Mental Health Disaster and Emergency Preparedness. New York:Springer Publishing Company, pp. 83‐104.

Duberstein PR and Heisel MJ. (2009) Suicide and relationships. In: Reis HT and Sprecher SK. Encyclopedia of Human Relationships. Sage Publications.

Forchuk C, Csiernik R and Jensen E. (in press) Homelessness, Housing and the Experience of Mental Health Consumer‐Survivors: Finding Truths Creating Change. Toronto, Ontario: Canadian Scholar Press.

Gupta MA. (2010) Aging skin: some psychosomatic aspects. In: Farage MA, Miller KW and HI M. Textbook of Aging Skin. Berlin/Heidelberg, Germany:Springer‐Verlag, pp. 959‐969.

Gupta MA and Levensen JL. (2010) Dermatologic disorders. In: Ferrando SJ, Levenson JL and Owens JA. Clinical Manual of Psychopharmacology in the Medically Ill. Washington, DC/London, UK:American Psychiatric Publishing Inc.

Mulvihill D, Ford‐Gilboe M, Csiernik R, Berman H and Forchuk C. (2010) Women, Trauma and Alcohol Dependency: Connections and Disconnections in Alcohol Treatment for women. Saarbrücken, Germany: Lambert Academic Publishing.

Norman R. (In press) The social stigma of mental illness. In: Vingilis E and State S. Community Mental Health Services: A Research Update. McGill:Queenʹs Publishers.

Ouimet AJ, Covin R and Dozois DJA. (In press) Generalized anxiety disorder. In: Sturmey P and Hersen M. Handbook of Evidence‐Based Practice in Clinical Psychology. New York, NY:Wiley.

Rudnick A, Forchuk C and Szmukler G. (In press) Ethical framework for community mental health. In: Thornicroft G, Szmukler G, Mueser KT and Drake R. Oxford Textbook of Community Mental Health. Oxford:Oxford University Press.

Rudnick A and Lamoure J. (In press) Person centered approaches to psychopharmacology for people with serious mental illness. In: Rudnick A and Roe D. Serious Mental Illness: Person‐Centered Approaches. Radcliffe.

Rudnick A and Roe D. (In press) Foundations and Ethics of Person‐Centered Approaches to Individuals with Serious Mental Illness (SMI). In: Rudnick A and Roe D. Serious Mental Illness: Person‐Centered Approaches. Radcliffe.

2009-2010 Department of Psychiatry Annual Report 71

Rudnick A and Roe D. (In press) Introduction. In: Rudnick A and Roe D. Serious Mental Illness: Person‐centered Approaches. Radcliffe.

Sanghera P, Corring D and Rudnick A. (in press) Person‐centred assessment of people with serious mental illness. In: Rudnick A and Roe D. Serious Mental Illness: Patient‐ Centred Approaches. Oxford, UK:Radcliffe Publishing.

Steele M, Leverette J and Russell R. (2009) Child and adolescent psychiatry. In: Leverette JS, Hnatko GS and Persad E. Approaches to Postgraduate Education in Psychiatry in Canada. Ottawa, ON:Canadian Psychiatric Association.

Théberge J. (2010) Assessing in vivo neurodegeneration in schizophrenia using magnetic resonance. In: Ritsner MS. Brain Protection in Schizophrenia, Mood and Anxiety Disorders: From Concept and Mechanisms to Clinical Practice. Springer, pp. 67‐104.

Vermetten E and Lanius R. (2009) Brain circuits in PTSD. In: Nutt D, Zohar J and Stein M. Post Traumatic Stress Disorder: Diagnosis, Management and Treatment, 2nd Ed. London, ON:Informa Healthcare, pp. 70‐88.

Vermetten E, Lanius R and Bremner JD. (2009) Contributions of traumatic stress studies in the neurobiology of dissociation and dissociative disorders: Implications for schizophrenia. In: Moskowitz A, Schafer I and Dorahy M. Psychosis, Trauma and Dissociation: Emerging Perspectives on Severe Psychopathology. New York, NY:John Wiley & Sons, pp. 221‐233.

Vermetten E and Lanius RA. (In press) Biological and clinical framework for posttraumatic stress disorder. In: Aminoff M, Boller F and Swaab D. Handbook of Clinical Neurology.

OTHER PUBLICATIONS (e‐articles, letters, editorials, professional newsletters, etc.):

Doey T and Steele M. (2010) Suicide behaviours among Polish youth in light of the following papers: Suicidal behaviours in children and adolescents. Parts 1 and 2 [Letter}.Canadian Journal of Psychiatry 55(6):399.

Dozois DJA. (2009) Dealing effectively with the media. Psynopsis 31(4):6.

Eichstedt JA and Collins KA. (2009) Psychologists working in multidisciplinary settings: Can we promote the integration of research into clinical practice? Canadian Clinical Psychologist 20(1):10‐11.

Gignac M, Legare N and Lamoure J. (2010) The long and the short story of ADHD: Advances in pharmacotherapy. See: Web education Module: www.rxbriefcase.com.

Guaiana G, Cipriani A and Barbui C. (In press) Hydroxyzine in generalized anxiety disorder. Cochrane Database Systematic Reviews.

2009-2010 Department of Psychiatry Annual Report 72

Guaiana G, Gupta S and Chiodo S. (In press) Agomelatine for depression. Cochrane Database Systematic Reviews.

Keshvan MS, Shrivastava A and Gangadhar BN. (2010) Early Intervention Research: implications for Indian mental health [Invited Review]. Indian Journal of Psychiatry 52(suppl).

Lamoure J. (2009) How often is male hypogonadism associated with depression? Canadian Journal of CME 21(10):21.

Lamoure J. (2009) Seasonal affective disorder treated by UV lights (current thinking for optimal length of exposure). Canadian Journal of CME 21(11):30.

Lamoure J. (2009) Theory of mindfulness. Canadian Journal of CME 21(9):20.

Lamoure J. (2009) When should antidepressants not be used for depression? Canadian Journal of CME 21(9):34.

Lamoure J. (2009) Anxiety, depression and dual SSRI use. Pharmacy Gateway Mental Health ATE. August. See: http://www.pharmacygateway.ca/index/asktheexpert/mental_health.jsp.

Lamoure J. (2009) Which antidepressant is right for a given patient? Medscape Pharmacist ATE. December. See: http://www.medscape.com/viewarticle/714113.

Lamoure J. (2009) Assessing attention deficit hyperactivity disorder. Canadian Journal of CME 21(10):27.

Lamoure J. (2010) Bipolar disorder in teenagers. Canadian Journal of CME 22(6):22.

Lamoure J. (2010) Depression in pre‐teens with somatization. Canadian Journal of CME 22(3):20.

Lamoure J. (2010) Early indications of dementia. Canadian Journal of CME 22(1):33.

Lamoure J. (2010) Medicating pregnant or nursing manic‐depressives. Canadian Journal of CME 22(1):25.

Lamoure J. (2010) Treatments for ADHD in teens and adults in both the medical and neuropathic medications. Canadian Journal of CME 22(5):27.

Lamoure J. (2010) How is Zolpidem dependence managed? Medscape Pharmacist ATE, February 2010. See: http://www.medscape.com/viewarticle/717142.

Lamoure J and Stovel J. (2009) Which antidepressants treat comorbid anxiety and depression? Medscape ATE. October. See: http://www.medscape.com/viewarticle/711111. 2009-2010 Department of Psychiatry Annual Report 73

Lamoure J and Stovel J. (2010) How do newer psychiatric medications compare with older ones in terms of efficacy? Canadian Healthcare Network ATE Panel. March 24. See: http://www.canadianhealthcarenetwork.ca/pharmacists/discussions/the‐experts/mental‐ health.

Lamoure J and Stovel J. (2010) Suggestions for treating major depression with concomitant PTSD? Canadian Healthcare Network ATE Panel; republished March 25. See: http://www.canadianhealthcarenetwork.ca/pharmacists/discussions/the‐experts/mental‐ health.

Lamoure J and Stovel J. (2010) What are the best strategies to treat insomnia related to antidepressant use? Canadian Healthcare Network ATE Panel. Republished March 25. See: http://www.canadianhealthcarenetwork.ca/pharmacists/discussions/the‐experts/mental‐ health.

Lamoure J and Stovel J. (2010) What precautions should be taken with SSRIʹs in the general population? Canadian Healthcare Network ATE Panel. Republished March 25. See: http://www.canadianhealthcarenetwork.ca/pharmacists/discussions/the‐experts/mental‐ health.

Mahmood A, Naqvi R, Grewal A, Diachun L and Gutmanis I. (2009) Antibiotic resistance knowledge in the elderly. UWO Medical Journal 78(2):69‐72.

Maxfield L. (2009) Looking back, moving forward. Journal of EMDR Practice and Research 3(4):210.

Maxfield L. (2009) Twenty years of EMDR. Journal of EMDR Practice and Research 3(3):115‐ 116.

Maxfield L. (2010) EMDR Milestones: The first 20 years. Journal of EMDR Practice and Research 3(4):211‐216.

Maxfield L. (2010) Moving into our fourth year. 2010. Journal of EMDR Practice and Research 4(1):2.

Neufeld RWJ, Boksman K, Vollick D, George L and Carter J. (2010) Stochastic dynamics of stimulus encoding in schizophrenia: Theory, testing, and application [Editorial]. J Math Psych 54:90‐108.

Neufeld RWJ and Townsend JT. (2010) Special Issue: Contributions of mathematical psychology to clinical science and assessment [Editorial]. Journal of Mathematical Psychology 54.

OʹReilly RL. (2010) Our expert answers your questions about CTOs. Canadian Psychiatry Aujourdʹhui 6(1):14. 2009-2010 Department of Psychiatry Annual Report 74

OʹReilly R, Solomon R and Gray J. (2010) 25 years in hospital [Letter to the Editor]. Globe and Mail

Richardson JD. (2009) Military‐related PTSD in Canadian veterans. Canadian Psychiatry Aujourdʹhui 5(1)

Richardson JD, Long ME, Pedlar D and Elhai JD. (2010) Posttraumatic stress disorder and health‐related quality of life in pension‐seeking Canadian World War II and Korean War veterans [Letter}. Journal of Clinical Psychiatry 71(8):1099‐101.

Rudnick A. (2009) Re: Toward a hippocratic psychopharmacology [Letter]. Canadian Journal of Psychiatry 54(6):426.

Rudnick A. (2010) The philosophy of medicine [Letter]. Canadian Medical Association Journal 182(8):805.

Rudnick A. (2010) Some philosophical reflections on orthomuscular psychiatry [Editorial]. Journal of Orthomuscular Medicine 2:52‐55.

Rudnick A. (2010) Training in philosophy of medicine ‐ in response to Professor Croskerry [Letter]. Canadian Medical Association Journal 182:805.

Rudnick A. (In press) On the Notion of (Medical) Invasiveness. Health Care Anals.

Rudnick A. (In press) Re: Reduction in Psychiatry [Letter]. Canadian Journal of Psychiatry.

Shanahan MJ and Neufeld RWJ. (2010) Exposition of hierarchical decisional control; hypergeometric‐distribution implementation, mathematical expectation of threat and event predictability; and simulation results over a large‐scale parametric grid. See: http://publish.uwo.ca/mshanah.

Shapiro J and Sharma V. (2009) Delayed loss of efficacy and depressogenic action of antidepressants [Letter to the Editor]. J Clin Psychopharmacol 29(6):612‐614.

Sharma S, Khan M and Sharma V. (In press) A mnemonic for identification and management of postpartum psychosis (Letter to the Editor). Journal of Obstetrics and Gynaecology Canada

Shrivastava A. (2010) Prodromal research: Public health initiatives for prevention of schizophrenia [Editorial]. Indian J Psychiatry 52(1):13‐6.

Shrivastava A. (2010) Should ʺrisk syndrome for psychosisʺ be included as a diagnosis in DSM‐V? [Letter]. World Psychiatry 9(2):123.

2009-2010 Department of Psychiatry Annual Report 75

Shrivastava A and Shah N. (2009) Prescribing and blood monitoring practices of Clozapine in India: Results from an opinion survey of psychiatrists [Letter to the Editor]. Indian J Psychiatry 52(4).

Singh SM, Castellani C and OʹReilly R. (2010) Autism meets schizophrenia via cadherin pathway [Letter]. Schizophr Res 116(2‐3):293‐4.

ABSTRACTS, EXTERNAL CONFERENCE PRESENTATIONS AND INVITED TALKS

Al Darwish M, LaRose L and Nicolson R. Cognitive functioning and adaptive behavior in children with autism. Annual Meeting of the Canadian Academy of Child and Adolescent Psychiatry, Toronto, ON; 2009.

Bartha R, Li A, Jones C, Suchý M, Meakin S, Menon RS and Hudson RHE. In‐vivo detection of PARACEST effect: CEST agents for advanced medical diagnosis. Communications Exchange on Saturation Transfer in Torino, Villa Gualino, Turin, Italy; January 4‐5, 2010.

Bartha R, Yee MH, Rupsingh R, Smith M and Borrie M. Altered macromolecule signal in the hippocampus in Alzheimer patients measured by 1H magnetic resonance spectroscopy. Alzheimerʹs Association, International Conference on Alzheimerʹs Disease & Alzheimerʹs Imaging Consortium, Vienna, Austria; July 11‐16, 2009.

Benbow S, Forchuk C and Ray S. The health of homeless mothers with mental illness: Nurses as agents of change. 4th National Community Health Nurses of Canada Conference, Toronto, ON; June, 2010.

Benbow S, Forchuk C and Ray S. Mothers with mental illness experiencing homelessness: The role of the nurse. Sigma Theta Tau 23rd Annual Research Conference: Promoting Excellence in Nursing Practice Through Research, London, ON, April, 2010.

Benbow S, Forchuk C and Ray S. Promoting the homeless mothers with mental illness. European Psychiatric Nursing Congress: Building Bridges, Prague, Czech Republic; April, 2010.

Benbow S, Forchuk C and Ray S. Social injustices and health inequities experienced by homeless mothers with mental illness. International Union for Health Promotion and Education (IUHPE) World Conference on Health, Equity and Sustainable Development, Geneva, Switzerland; July, 2010.

Bernet W, Baker AJ, Jaffe P and Johnston JR. Parental alienation and the DSM‐V. AFCC 47th Annual Conference: Traversing the Trail of Alienation, Denver, CO; June 2‐5, 2010.

2009-2010 Department of Psychiatry Annual Report 76

Bremner JD, Dalenberg C, Carlson E, Lanius R, Spiegel D and Vermetten E. Therapeutic and research implications of a dissociative sub‐type of PTSD. 25th International Society for Traumatic Stress Studies, Annual Meeting, Atlanta, GA; November, 2009.

Burhan AM, Tichenoff EL, McClure M, Mitchell D, Montero‐Oddasso M, Borrie MJ and Bartha R. Differential pattern of functional magnetic resonance image (fMRI) signal in patients with mild cognitive impairment (MCI) versus healthy controls (HC) during delayed‐match to sample paradigm with task‐irrelevant fearful face distracter. Fifth Canadian Conference on Dementia, Toronto, ON; 2009. [Abstracted in Canadian Journal of Geriatrics 12:70‐73].

Burneo J, Jones C and Bartha R. Multimodality imaging in patients with epilepsy and malformations of cortical development (MCD); fMRI, MRS and DTI. 63rd Annual Meeting of the American Epilepsy Society, Boston, MA; December 4‐8, 2009.

Bush H, Langford J, Jackson L and Takhar J. Shared care services to indigent populations in London, Ontario, 2004‐2008. National Conference on Collaborative Mental health Care, Hamilton, Ontario; May 29, 2009.

Campbell AE, Li A, Jones C and Bartha R. Optimized PARACEST signal detection by echo‐ planar imaging. ISMRM/ESMRM Joint Annual Meeting, Stockholm, Sweden; May 1‐7, 2010.

Campbell DW, Logsetty S, Shumila L, Sareen J, Wallace MG, Mota N and Reiss JP. Burn injuries and psychiatric morbidity differentially predict emotional processing. 15th Conference of the International Society of Burn Injuries, Istanbul, Turkey; June 22, 2010.

Cantor‐Rivera D, Goubran M, Kraguljac A, Mirsattari SM, Bartha R and Peters T. Detection of small human cerebral cortical lesions with MRI under different levels of Gaussian smoothing: Applications in epilepsy. SPIE Medical Imaging, San Diego, California; February 13‐18, 2010.

Castellani CA, Maiti S, Kumar K, OʹReilly R and Singh S. Copy number variations in monozygotic twins discordant for schizophrenia. 53rd Annual Meeting of the Genetics Society of Canada, Hamilton, ON; June 17‐20, 2010.

Cernovsky ZZ. Pseudoscientific literature promotes racial prejudice among physicians. American Psychiatric Association Annual Meeting, New Orleans, LA; May 22‐26, 2010.

Cernovsky ZZ. Statistics and evidence‐based approach. American Psychiatric Association Annual Meeting, New Orleans, LA; May 22‐26, 2010.

Chiu S, Cernovsky Z, Husni M, Copen J and Campbell R. Ginseng augmentation of subsyndromal depressive symptoms (SSD) in schizophrenia: Secondary analysis of a multi‐ site RCT study. American Psychiatric Association Annual Meeting, New Orleans, LA, May 22‐26, 2010.

2009-2010 Department of Psychiatry Annual Report 77

Chiu S, Cernovsky Z, Southam L, Sadek G, Husni M and Copen J. Pilot study of pathological gambling in methadone maintained opiate dependence. Institute for Research on Gambling Disorders Research Conference. NCRG, Las Vegas, NV; November, 2009.

Chiu S, Husni M, Sidhu GS, Cernovsky ZZ and Woodbury M. Symposium: Integrating CAM (Complementary Alternative Medicine) in Psychiatric Care: New Paradigms and Perspectives. American Psychiatric Association; May, 2010.

Cohen K, Dozois DJA, Frain J, Service J, Sexton L and Votta‐Beleker L. Practice and science directorates 411. Canadian Psychological Association Annual Meeting, Winnipeg, MB; June, 2010.

Corring D, Diaz K and Peer I. Community Treatment Orders: Is there an impact on quality of life for persons with serious mental illness?” 31st International Congress on Law and Mental Health, New York, NY; June 28‐July 3, 2009.

Curtis AT, Gilbert KM, Gati JS, Klassen LM and Menon RS. 12‐Channel transceive array for B1+ shimming and receive acceleration at 7T. International Society for Magnetic Resonance in Medicine (ISMRM), Third International Workshop on Parallel MRI, Santa Cruz, CA; October 23‐26, 2009.

Cuthbert R, Stewart SL, Theall‐Honey L and Siman E. Moderating effects on the relationship between child maltreatment and behaviour problems. Pathways to Resilience II Conference, Halifax, NS; June, 2010.

Diachun L. Improving recruitment with Education. Annual Canadian Geriatrics Society Meeting, Ottawa, ON, April 17, 2010.

Doey T and Poliquin AE. Metabolic side effects of atypical antipsychotics in an inpatient paediatric population: A retrospective chart review. 56th Annual Conference of the American Association of Child and Adolescent Psychiatry, Honolulu, Hawaii, October, 2009.

Doey T and Poliquin AE. Recruitment and retention of psychiatrists in a community setting with an emerging academic focus. 59th Annual Conference of the Canadian Psychiatric Association, St. Johnʹs, NL; August, 2009.

Dozois DJA, Bieling PJ, Patelis‐Siotis I, Hoar L, Chudzik S, McCabe K and Westra HA. Changes in early maladaptive schemas and cognitive structure in cognitive therapy for depression. Association for Behavioral and Cognitive Therapies Annual Meeting, New York, NY; November, 2009.

Fitzgerald K, Gibson M, Fisher R, Roush R and Powell S. What do we know about caring for frail older persons in disasters (and what should we know)? 38th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology, Winnipeg, MB; October 23‐24, 2009. 2009-2010 Department of Psychiatry Annual Report 78

Frewen P, Dozois D, Neufeld RWJ and Lanius R. Self‐referential processing in women with PTSD related to childhood abuse: An fMRI study. International Society for Traumatic Stress Studies, 26th Annual Meeting, Montreal, QC; November 4‐6, 2010.

Gagnon Y and Nicolson R. Investigating white matter abnormalities in autism using voxel‐ based morphometry and voxel‐based relaxometry. International Meeting for autism Research, Philadelphia, PA; 2010.

Gagnon Y and Nicolson R. Investigating white matter abnormalities in autism using voxel‐ based morphometry and voxel‐based relaxometry. Autism Europe Annual Congress, Catania; 2010.

Gagnon Y, Rajakumar N, Gelman N, Williamson P, Drost D, Théberge J and Nicolson R. Investigating transverse relaxation time abnormalities of anatomical white matter compartments in autism. Annual Meeting of the International Society for Magnetic Resonance in Medicine, Stockholm, Sweden; 2010.

Gibson M. Applying a life course perspective to mental health promotion for aging combat veterans. 19th IAGG World Congress on Gerontology and Geriatrics, Paris, France; July 5‐9, 2009.

Gibson M. Expanding the technology safety envelope for seniors to include disaster resilience. International Society for Gerontechnology, 7th World Congress, Vancouver, BC; May 27‐30, 2010. [Abstracted in Gerontechnology].

Gibson M, Carter M, Helmes E and Edberg A. Core assumptions and principles of good care. Into the Light Conference: Transforming Mental Health in Canada. Canadian Mental Health Commission, Vancouver, BC; November 29‐ December 1, 2009.

Gibson M and Gifford S. Aging veterans, psychological trauma and relapse prevention: A state of the art review. International Psychogeriatric Association, Montreal, QC; September 1‐4, 2009. [Abstracted in International Psychogeriatrics]

Gibson M, Gifford S and Hutchinson J. Mitigating the risk of late life mental health problems for veterans. Canadian Association on Gerontology, Winnipeg, MB; October 23‐24, 2009.

Gibson M, Gifford S and Hutchinson J. Mitigating the risk of late life mental health problems for veterans. Into the Light Conference: Transforming Mental Health in Canada. Canadian Mental Health Commission, Vancouver, BC; November 29‐December 1, 2009.

Gibson M and Gorman E. Hope. Canadian Hospice and Palliative Care Association, Winnipeg, MB; October 18‐21, 2009.

2009-2010 Department of Psychiatry Annual Report 79

Gibson M, Gorman E and Feron A. End of life care for aging veterans in residential care. 19th IAGG World Congress on Gerontology and Geriatrics, Paris, France; July 5‐9, 2009. [Abstracted in Journal of Nutrition, Aging and Health].

Gibson M, Swan J, Langill M, Futzgerald K, MacCourt P and Hutchinson S. Cognitive impairment: A determinant of vulnerability in emergencies and disasters. 5th Canadian Consensus Conference on Dementia, Toronto, ON; October 1‐3, 2009. [Abstracted in Canadian Journal of Geriatrics].

Gray JE and OʹReilly RL. Recent significant changes in Canadian Mental Health Acts. 31st International Congress on Law and Mental Health, New York, NY; June 28‐July 3, 2009.

Gutman G, Gibson M and Kloseck M. Psychological issues for seniors in disasters: A Canadian perspective. American Psychological Association, Toronto, ON; August 6‐9, 2009.

Gutmanis I and McKellar L. Why is delirium a patient safety issue? 2010 Southwestern Ontario Patient Safety Summit: Small Successes ‐ Big Impact, London, ON; April 15, 2010.

Haslam D, Takhar J and Dixon D. Depression education and enhancement in primary care (DEEP Care). National Conference on Collaborative Mental Health Care, Hamilton, Ontario; May 29, 2009.

Heisel MJ. Assessing experienced meaning in life among older adults: The development and initial validation of the EMIL. 42nd American Association of Suicidology, Annual Conference. A Global Agenda on the Science of Prevention, Treatment and Recovery; 2009.

Heisel MJ. Assessing experienced meaning in life among older adults: the development and initial validation of the EMIL. 14th International Congress of the International Psychogeriatric Association, Montreal, QC; September 4, 2009. [Abstracted in International Psychogeriatrics 21(S2):S172‐173].

Heisel MJ. Preventing suicide: From clinical interventions to a national suicide prevention strategy. World Suicide Prevention Day, Canadian Mental Health Association, Ottawa Branch; and The Ottawa Suicide Prevention Coalition, Ottawa, ON; September 10, 2009.

Heisel MJ. Suicide prevention is everybodyʹs business: The role of suicide prevention strategies. Planning for a Provincial Strategy for Suicide Prevention, Annual Conference of the Ontario Suicide Prevention Network, Mississauga, ON; November 16, 2009.

Heisel MJ, Donnelly M and Moore S. Late life suicide prevention toolkit: Life‐saving tools for health care providers. 14th International Congress of the International Psychogeriatric Association, Montreal, QC; September 4, 2009. [Abstracted in International Psychogeriatrics 21(S2):S172‐173].

Heisel MJ, Duberstein PR, Talbot NL, King DA and Tu XM. Adapting interpersonal psychotherapy for older adults at risk for suicide. 42nd American Association of 2009-2010 Department of Psychiatry Annual Report 80

Suicidology, Annual Conference. A global Agenda on the Science of Prevention, Treatment, and Recovery; 2009.

Heisel MJ, Duberstein PR, Talbot NL, King DA and Tu XM. Adapting interpersonal psychotherapy for older adults at risk for suicide. 14th International congress of the International Psychogeriatric Association, Montreal, QC; September 5, 2009. [Abstracted in International Psychogeriatrics 21(S2):S75].

Heisel MJ, Duberstein PR, Talbot NL, King DA and Tu XM. Adapting interpersonal psychotherapy for older adults at risk for suicide. American Association for Geriatric Psychiatry, Annual Conference, Savannah, GA; 2010. [Abstracted in American Journal of Geriatric Psychiatry 183(S1):S54].

Heisel MJ and Flett GL. Psychological resiliency and suicide risk among community‐ residing older adults. American Association for Geriatric Psychiatry, Annual Conference, Savannah, GA; 2010. [Abstracted in American Journal of Geriatric Psychiatry 183(S1):S54].

Husni M, Cernovsky Z and Chiu S. Nicotine dependence, adaptive functioning, and psychopathology among psychiatric inpatients. American Psychiatric Association New Research Poster APA Program Proceedings, New Orleans, LA; May, 2010.

Jaffe P. The impact of domestic violence in the lives of children. Governorʹs Task Force on Domestic Violence, Montgomery, AL; October, 2009.

Jaffe P. Supervised visitation in domestic violence cases. National Council of Juvenile and Family Court Judges, San Diego, CA; 2009.

Jaffe P, Ashbourne D, Mamo A and Martinson D. Assessment and differential interventions for alienation allegations: Punishing parents or helping children? AFCC 47th Annual Conference: Traversing the Trail of Alienation, Denver, CO; June 2‐5, 2010.

Keyfitz L, Lumley MN, Hennig KH and Dozois DJA. The development of a positive schema inventory for children. World Congress of Behavioral and Cognitive Therapies, Boston, MA; June, 2010.

Khan AF, Nestor S, Smith M, Borrie M, Wells JL and Bartha R. Ventricle sub‐region segmentation in Alzheimer Disease, Canadian Geriatric Society; September, 2009. [Abstracted in Canadian Journal of Geriatrics 12(3):122].

Khan AF, Nestor SM, Smith M, Borrie M, Wells JL and Bartha R. Ventricle sub‐region segmentation in Alzheimer Disease. Imaging Network Ontario, 8th Imaging Symposium, Toronto, ON; February 1‐3, 2010.

Khan AF, Smith M, Borrie M and Bartha R. Ventricle sub‐region segmentation as a structural biomarker of Alzheimerʹs Disease. Geriatric Medicine Tri‐University Day, Mississauga, ON, June 16, 2010. 2009-2010 Department of Psychiatry Annual Report 81

Khan AF, Smith M, Borrie M, Wells JL and Bartha R. A longitudinal study exploring brain ventricle sub‐region expansion in Alzheimerʹs Disease using an automatic segmentation software program. 30th Annual Scientific Meeting of the Canadian Geriatrics Society, Ottawa, ON; April 15‐17, 2010.

Koloseck M, Gutman G, Gibson M and Cox L. Seniors and emergency preparedness: Applying a senior‐friendly lens to emergency planning in Canada. Canadian Association on Gerontology, Winnipeg, MB; October 23‐24, 2009.

Koval MJ, Lomber SG and Everling S. Anti‐saccade task performance deficits during reversible deactivation of anterior cingulate cortex or lateral prefrontal cortex. Neural Control of Movement Meeting, Waikoloa, Hawaii; 2009.

Koval MJ, Lomber SG and Everling S. Principal sulcus inactivation impairs working memory but not response suppression in a memory‐guided saccade task. Society for Neuroscience: Neuroscience Meeting Planner, Chicago, IL (Online); 2009.

Kowalczyk I, Duggal N and Bartha R. Proton resonance spectroscopy of the motor cortex in cervical spondylotic myelopathy. Imaging Network Ontario, 8th Imaging Symposium, Toronto, ON; February 1‐3, 2010.

Lafreniere KD, Menna R, Cramer KM and Out JW. Metamotivational and temperamental predictors of adolescent risk taking. 14th International Conference on Reversal Theory, New Orleans, Louisiana; July, 2009.

Lamoure J. Schizophrenia and the perfect storm. Canadian Association of Hospital Pharmacists Annual Meeting, Toronto, ON; February 2, 2010.

Lanius R, Frewen PA and Hopper J. A model of emotion regulation in PTSD. 6th World Congress of Behavioral and Cognitive Therapies, Boston, MA; June 5, 2010.

Lanius RA, Bluhm R, Williamson PC, Osuch E, Stevens T, McFarlane A, Moores K, Clark R and Shaw M. ʺDefault Networkʺ Abnormalities in PTSD: a fMRI investigation. 25th International Society for Traumatic Stress Studies, Annual Meeting, Atlanta, GA; December, 2009.

Lanius RA, Danels J, Bluhm R, Densmore M, Moores K, Clark R, Shaw M and McFarlane A. Switching between executive and default mode networks in PTSD ‐ alterations in functional connectivity. 48th American College of Neuropsychopharmacology, Annual Meeting, Hollywood, FL; December, 2009.

Levy L, Yao W, McGuire G, Vollick D and Neufeld RWJ. ʺHot Cognitionʺ is not beyond the reach of formal models: Higher‐dimensional nonlinear bifurcations depict psychological stress and coping. 43rd Annual Meeting, Society for Mathematical Psychology, Portland, OR; August 8‐10, 2010. 2009-2010 Department of Psychiatry Annual Report 82

Lumley MN, Dozois DJA and Hennig KH. Parent perceptions and depressotypic cognitive organization in preadolescence. World Congress of Behavioral and Cognitive Therapies, Boston, MA; June, 2010.

Lumley MN, Dozois DJA and Hennig KH. The self‐organization task: A novel approach for assessing schema structure in youth. World Congress of Behavioral and Cognitive Therapies, Boston, MA; June, 2010.

Manchanda R. EEG abnormalities and three year outcome in first episode psychosis. 15th Biennial Winter Workshop in Psychoses, Barcelona, Spain; 2009.

Marsh AL, Lumley MN, Bailey HN, Dozois DJA and Hennig KH. Direct and indirect measurement: A comprehensive analysis of preadolescent cognitive schemas. World Congress of Behavioral and cognitive Therapies, Boston, MA; June, 2010.

Maxfield L. EMDR Research: Where we stand, where we should go, and why we should care. Annual Meeting of the EMDR International Association, Atlanta, GA; August, 2009.

McVicar N, Li A, Hudson R, Klassen M and Bartha R. Rapid CEST detection using EPI. ISMRM/ESMRM Joint Annual Meeting, Stockholm, Sweden; May 1‐7, 2010.

Modirrousta M, Campbell DW, Wallace MG, Reiss JP, Polimeni JO, McKeen NA and Sareen J. Humour appreciation and the brainʹs reward system: Is funniness rewarding? Cognitive Neuroscience Society, Montreal, QC; April 17‐20, 2010.

Mulvihill D, Ford‐Gilboe M, Berman H, Csiernik R and Forchuk C. Connections and disconnection in treatment for alcohol dependence for women with post‐traumatic stress disorder and a history of intimate partner violence. 15th International Conference for Qualitative Health Research, Vancouver, BC; October, 2009.

Mulvihill DL and Forchuk C. The experience and challenges of participant observer. 16th International Conference of the Nursing Network on violence Against Women International, Miami, FL; October, 2009.

Mulvihill DL, Ford‐Gilboe M, Berman H, Csiernik R and Forchuk C. Nurseʹs role in the care of women with alcohol dependency, posttraumatic stress disorder and a history of intimate partner violence. 16th International Conference of the Nursing Network on Violence Against Women International, Miami, FL; October, 2009.

Mulvihill DL, Ford‐Gilboe M, Berman H, Csiernik R and Forchuk C. Help seeking by women who have alcohol dependence, PTSD and a history of intimate partner violence. Public Health In Canada, Shaping the Future Together, CPHA Centennial Conference, Toronto, ON; June, 2010.

2009-2010 Department of Psychiatry Annual Report 83

Nestor S, Borrie M, Smith M, Wells JL and Bartha R. Cerebral ventricular sub‐volume analysis from MRI: A marker of Alzheimer Disease progression validated using ADNI. Alzheimerʹs Association, International Conference on Alzheimerʹs Disease & Alzheimerʹs Imaging Consortium, Vienna, Austria; July 11‐16, 2009.

Nestor S, Borrie M, Smith M, Wells JL and Bartha R. A direct comparison of ventricular volumes derived from 1.5 Tesla and 3.0 Tesla MRI in 115 ADNI participants. Alzheimerʹs Association, International Conference on Alzheimerʹs Disease & Alzheimerʹs Imaging Consortium, Vienna, Austria; July 11‐16, 2009.

Nestor S, Truemner J, Bartha R, Smith M and Borrie M. MRI to characterize Alzheimer Disease progression over several years: combining Research and Clinical Scans. 19th IAGG World Congress, Paris, France; July 5‐9, 2009.

Nestor SM, Borrie M, Smith M, Wells JL and Bartha R. Associations between temporal horn volumes derived from MRI, CSF Aβ1‐42 and cognitive decline in ADNI participants. September, 2009. [Abstracted in Canadian Journal of Geriatrics 12(3):118].

Nestor SM, Borrie M, Smith M, Wells JL and Bartha R. Associations between temporal horn volumes derived from MRI, CSF Aβ1‐42 concentrations and cognitive decline. 2nd Conference Clinical Trials on Alzheimerʹs Disease, Las Vegas, NV; October 29‐30, 2009.

Nestor SM, Borrie M, Smith M, Wells JL and Bartha R. A direct sample size comparison between MRI temporal horn volumes, CSF Aβ1‐42 and cognitive decline to detect Alzheimer Disease progression in ADNI participants.2nd Conference Clinical Trials on Alzheimerʹs Disease, Las Vegas, NV; October 29‐30, 2009.

Nestor SM, Truemner J, Bartha R, Smith M and Borrie M. Magnetic resonance imaging to characterize Alzheimer disease progression over several years: Combining research and clinical scans. September, 2009. [Abstracted in Canadian Journal of Geriatrics 12(3) 117‐118].

Ogniewicz A, Dozois DJA and Covin R. Cognitive reactivity to negative mood states. Association for Behavioral and Cognitive Therapies, Annual Meeting, New York, NY; November, 2009.

OʹRegan T, Gutmanis I and Doherty J. Introducing guided reflection on practice as a way of integrating clinical practice and research in the context of a pre‐existing journal club. The Arthur Labatt Family School of Nursing and Sigma Theta Tau Inc., Iota Omicron Chapter, 23rd Annual Research Conference: Promoting Excellence in Nursing Practice Through Research, London, ON; April 30, 2010.

OʹReilly R, Singh S and Castellani C. Copy number variations in monozygotic twins and the search for genes involved in complex disorders: Lessons from schizophrenia. The Canadian Psychiatry Association, 59th Annual Conference, St. Johnʹs, NFLD; August 27‐29, 2009.

2009-2010 Department of Psychiatry Annual Report 84

Penner J, Curtis AT, Klassen M, Gati JS, Smith M, Borrie MJ and Bartha R. Metabolic nulling to measure the macromolecule baseline for quantitative 1H magnetic resonance spectroscopy at 7‐Tesla. ISMRM/ESMRM Join Annual Meeting, Stockholm, Sweden, May 1‐ 7; 2010.

Penner J, Pasternak SH, Gati JS, Smith M, Borrie M and Bartha R. Enhanced amyloid plaque detection by magnetic resonance balanced steady state free precession imaging combined with susceptibility weighted imaging post‐processing. Alzheimerʹs Association International Conference on Alzheimerʹs Disease & Alzheimerʹs Imaging Consortium, Vienna, Austria; July 11‐16, 2009.

Penney A, Teatero M, Mazmanian D and Sharma V. Patterns of service and medication use of Canadians with anxiety disorders. Association for Behavioral and Cognitive Therapies, Anxiety Special Interest Group Session, New York, NY; November 19‐22, 2009.

Phillips JM, Sander V and Everling S. Event‐related potentials in non‐human primates associated with pro‐and anti‐saccades. Society for Neuroscience: Neuroscience Meeting Planner, Chicago, IL (online); 2009.

Quinn J, DeVito TJ, Rajakumar N, Williamson P, Drost D and Nicolson R. Evidence of reduced cortical neural integrity in Tourette Syndrome. Annual Meeting of the Canadian Academy of Child and Adolescent Psychiatry, Toronto, ON; 2010.

Quinn J, DeVito TJ, Rajakumar N, Williamson PC, Drost D and Nicolson R. Evidence of reduced cortical neuronal integrity in Tourette syndrome. Annual Meeting of the American Academy of Child and Adolescent Psychiatry, New York, NY; 2010.

Reid GJ, Stewart M, Vingilis E, Dozois DJA, Wetmore S, Jordan J, Dickie G, Osmun T, Wade T, Brown JB and Zaric G. Parenting Matters: Randomized clinical trial of a brief, distance‐ based treatment for preschool‐age children with discipline problems seen in primary care. 37th Annual American Primary Care Research Group Meeting, Montreal, QC; November, 2009.

Reid GJ, Stewart SL, Barwick M, Cunningham CE, Carter JR, Evans B, Leischied AW, Neufeld RWJ, St.Pierre J, Tobon JI, Vingilis E and Zaric GS. Exploring patterns of service utilization within childrenʹs mental health agencies. Ministry of Child & Youth Services, Half‐day education session, Toronto, ON; September, 2009.

Richardson JD, Pekevski J and Elhai J. PTSD and health problems among medically ill Canadian peace‐keeping veterans. 59th Canadian Psychiatric Association Annual Conference, St. Johnʹs, NL; 2009.

Richardson JD, Pekevski J and Elhai JD. Treatment outcome of Canadian veterans with PTSD treated at an operational stress injury (OSI) clinic. ISTSS Annual Conference, Atlanta, GA; 2009.

2009-2010 Department of Psychiatry Annual Report 85

Richardson JD, Sereen J and Elhai JD. Treatment outcome and predictors of response in Canadian peacekeeping and combat veterans with military related PTSD treated. ACOT, Brisbane; 2010.

Richardson JD, Sereen J and Elhai JD. Treatment outcome and predictors of response in Canadian Peacekeeping and combat veterans with military related PTSD treated. 18th EPA European Congress of Psychiatry, Munich, 2010.

Rick J, Stewart SL and Currie M. Young clinically‐referred high risk children: The impact of parental expressed emotion on child behaviour. American Psychological Association, Toronto, ON; August, 2009.

Rick J, Stewart SL, Currie M and Rielly N. Collaborative problem‐solving approach in clinically‐referred children: A residential program evaluation. 29th Annual Canadian Academy for Child and Adolescent Psychiatry, Toronto, ON; November, 2009.

Robertson JA, Théberge J, Miller J, Weller J, Drost DJ, Prato FS and Thomas AW. Magnetic field exposure can alter neuroprocessing in humans. 32nd Annual Conference of the Bioelectromagnetics Society, Seoul, Korea; June, 2010.

Rudnick A. Psychiatric rehabilitation: An introduction. Canadian Psychological Association Annual Conference, Toronto, ON; 2009.

Rudnick A. Thought experiments as a reflective strategy in health professional education. Engaging Reflection in Health Professional Education and Practice Conference, London, ON; 2009.

Rudnick A. What are the required competencies of the effective Psychiatric Rehabilitation Practitioner? Ministry of Health Israel, 10th Anniversary Conference for the Psychiatric Rehabilitation Law in Israel, Jerusalem, Israel; 2009.

Rudnick A. Family health teams and mental health services in Northern Ontario: Finding a niche. Northern Health Research Conference, Laurentian University, Sudbury ON; 2010.

Rudnick A. Never the twain shall meet? Interspeciality bioethics education and practice in relation to informed consent for surgery‐related anesthesia. International Conference on Bioethics Education: Contents, Methods, Trends, Zefat, Israel; 2010.

Rudnick A. Never the twain shall meet? Interspeciality bioethics education and practice in relation to informed consent for surgery‐related anesthesia. International Conference on Residency Education, Ottawa, ON; 2010.

Rudnick A. Present and future of psychiatric rehabilitation: A personal research journey. Centre for Rural and Remote Mental Health, University of Newcastle, New South Wales, Australia; 2010.

2009-2010 Department of Psychiatry Annual Report 86

Rudnick A. Qualitative research and psychiatry: An epistemological analysis. Association for the Advancement of Philosophy and Psychiatry, Annual Conference, New Orleans, Louisiana; 2010.

Rudnick A. What are the required competencies of the effective Psychiatric Rehabilitation Practitioner? Psychosocial Rehabilitation Canada ʹRediscovering PSR in a New Decadeʹ Conference, Ottawa, ON; 2010.

Rudnick A, McEwan R, Subramanian P and Lundberg E. Barriers, enablers and related strategies in relation to supported post‐secondary education for people with mental health challenges: Preliminary results from a qualitative study. Ontario Psychiatric Association Annual Conference, Toronto, ON; 2010.

Rudnick A and Wada K. Never the twain shall meet? Interspecialty bioethics education and practice in relation to informed consent for anesthesia for surgical procedures. UNESCO Chair in Bioethics International Conference, Zefat, Israel; May 3‐5, 2010.

Ryan D, Barnett R, Cott C, Dalziel W, Gutmanis I, Jewell D, Kelley ML, Liu B and Puxty J. Geriatrics, inter‐professional practice and inter‐organizational collaboration: The GiiC initiative in the Province of Ontario. 19th IAGC World Congress on Gerontology and Geriatrics, Paris, France; July 5‐9, 2009.

Seeds PM, Dozois DJA and Bogler TC. Cognitive reactivity to negative mood states. Association for Behavioral and cognitive Therapies, Annual Meeting, New York, NY; November, 2009.

Seeds PM, Johnson PJ and Dozois DJA. Show me the money: Tips on applying for and obtaining external scholarships and grants. Canadian Psychological Association Annual Meeting, Winnipeg, MB; June, 2010.

Shanahan MJ and Neufeld RWJ. Mathematical expectation of threat, unpredictablility, and mechanisms of stochastic ʺFaint Threatʺ in a model of decisional control. 43rd Annual Meeting of the Society for Mathematical Psychology, Portland, OR; August 8‐10, 2010.

Sharma V. Soft bipolarity in the postpartum period: Assessment and management [Course]. Canadian Psychiatric Association, St. Johnʹs, NL; August 28, 2009.

Sharma V. Treatment resistant postpartum depression: A closer look. Canadian Psychiatric Association, St. Johnʹs, NL; August 28, 2009.

Shrivastava A. Early psychosis: A novel gateway for suicide prevention [Keynote Speaker]. Canadian Association of Suicide Prevention, Annual Conference, Brandon, MB; 2009.

Shrivastava A. Stigma and discrimination of mental illness: Need for objective assessment and quantification. Stigma Conference, London, UK; 2009.

2009-2010 Department of Psychiatry Annual Report 87

Shrivastava A. Should ʹRisk syndrome of Psychosisʹ be included in DSM‐5 as a diagnosis? A road towards preventive psychiatry. American Psychiatric Associationʹs Annual Meeting, New Orleans, LA; May 22‐26, 2010.

Shrivastava A and Johnston M. Enhancing risk‐assessment across services in mental health. American Psychiatric Associationʹs Annual Meeting, New Orleans, LA; May, 2010.

Shrivastava A and Johnston M. A novel gateway for suicide prevention. Indian Psychiatric Society, Annual National Conference, Jaipur, India; January 17‐21, 2010.

Shrivastava A and Johnston M. What do we know about people who kill themselves? A trajectory for prevention in developing countries. World Psychiatric Association, Regional Meeting, Dhaka, India; January 20‐23, 2010.

Shrivastava A and Shah N. Bringing ʹdealing with stigmaʹ into clinics: Why should ʹstigmaʹ not be a part of routine clinical assessment in schizophrenia. Need for objective assessment and quantification. World Federation of Biological Psychiatry, 9th World Congress of Biological Psychiatry, Paris, France; June 28‐July 2, 2009.

Shrivastava A, Shah N, Johnston M, Stitt L, Thakar M and Chinnasamy G. Do atypical antipsychotics differ in determining long‐term outcome of first episode schizophrenia? A naturalistic outcome study in India. World Psychiatric Association Regional Meeting, Dhaka, India; January 20‐23, 2010.

Shrivastava A, Shah N, Johnston M, Stitt L, Thakar M and Chinnasamy G. Predictors and characteristics of response and non‐response: A ten year follow‐up of first episode schizophrenia in Mumbai. Indian Psychiatric Society Annual National Conference, Jaipur, India; January 17‐21, 2010.

Shrivastava A, Shah N, Thakar M, Stitt L and Chinnasamy G. Duration of untreated psychosis & long‐term outcome of first episode, hospitalized schizophrenia: Search for a missing link in a linear correlation. Institute on Psychiatric Services, New York, NY; October, 2009.

Shrivastava A, Tamhane M, Thakar M, Shah N and Stitt L. Does neuroendocrine offer an outcome predictive indicator: Experience of serum prolactin in 5‐year outcome in first episode drug naive patients. 2009. World Federation of Biological Psychiatry, 9th World Congress of Biological Psychiatry, Paris, France; June 28‐July 2, 2009.

Shrivastava A, Thakar M, Tamhane M, Shah N and Stitt L. Characteristic of clozapine responders & non‐responders in a naturalistic tertiary setting in India. World Federation of Biological Psychiatry, 9th World Congress of Biological Psychiatry, Paris, France; June 28‐ July 2, 2009.

2009-2010 Department of Psychiatry Annual Report 88

Shrivastava A, Thakar M, Tamhane M, Shah N and Stitt L. Evaluating clozapine dose‐ response relationship using EEG monitoring. World Federation of Biological Psychiatry, 9th World Congress of Biological Psychiatry, Paris, France; June 28‐July 2, 2009.

Spring R, Nagalingam R, Gagnon Y, Drost D and Nicolson RJ. Transverse relaxation time imaging of frontal lobe white matter in autism. Annual General Meeting of the Canadian Academy of Child and Adolescent Psychiatry, Toronto, ON; 2009.

St. Pierre J, Leschied AW, Stewart SL, Cullion CM and Cook SF. Differentiating three year outcomes following tertiary child and youth psychiatric treatment. American Psychological Association, Toronto, ON; August, 2009.

Steele M. Functional remission as goal of therapy in ADHD Round Table Discussion, Tokyo Japan; CNS & Clinical Oncology Forum, Tokyo Japan; Kyushu University Hospital, Fukuoka, Japan; Osaka, Japan; Suncity Hall, Saitama, Japan; ADHD Functional Remission Conference, Taipei, Taiwan; 2nd Remission Summit, Tien‐Lai, Taipei, Taiwan; July 11‐19, 2009.

Steele M. Obsessive compulsive disorder in children and adolescents, tricking OCD: How to assess and manage OCD. 18th Annual Paediatrics for the Family Physician, Stratford, ON; October 21, 2009.

Steele M. Prescribing SSRIs to adolescents. 47th Annual Scientific Assembly, Ontario College of Family Physicians, Toronto, ON; November 26‐28, 2009.

Steele M, Davidson B, Stretch N, Zayed RS, Doey T, Spenser HR, Callanan T, St. John K, Rourke J, Lipton H, Hope‐Ross L, Fleisher W, Bowman J, Ferguson G, Lazier L, Abidi L, Liashko V and Nadeau L. Child and adolescent mental health. Needs and interests among Family Physicians, General Practitioners and Paediatricians located in rural and remote areas. A Canadian National Collaborative Study. 11th Canadian Conference on Collaborative Mental Health Care, Winnipeg, MB; May 13‐15, 2010.

Steele M, Davidson B, Stretch N, Zayed RS, Doey T, Spenser HR, Callanan T, St. John K, Rourke J, Lipton H, Hope‐Ross L, Fleisher W, Bowman J, Ferguson G, Lazier L, Abidi L, Liashko V and Nadeau L. Child and adolescent mental Health. Needs and interests among Family Physicians, General Practitioners and Paediatricians located in rural and remote areas: A Canadian National Collaborative Study. Society of Rural Physicians of Canada Conference, Toronto, ON; 2010.

Steele M, Davidson B, Zayed RS, Stretch N, Lipton H, Spenser HR, Lazier L, Abidi S, Callanan T, Ferguson G, Duncan D, Fleisher W, Doey T, St.John K, Hope‐Ross L, Boman J, Rourke J and Sylvester H. Child and adolescent mental health. Needs and interests among Family Physicians, General Practitioners and Paediatricians located in rural and remote areas. A Canadian National Collaborative Study. Canadian Psychiatric Association 59th Annual Conference, St. Johnʹs, NL; August 27‐29, 2009.

2009-2010 Department of Psychiatry Annual Report 89

Steele M, Tzang R‐F and Yeh CB. Current challenge of detection, diagnosis and treatment of ADHD in Taiwan (Panel discussion). 2nd Remission Summit, Tien‐Lai, Taipei, Taiwan; July 18‐19, 2009.

Stewart SL. Childrenʹs mental health and interRAI. iNEMH, Reykjavik, Iceland; October, 2009.

Stewart SL, Cullion CM, Hamza C and Currie M. Short‐term residential treatment: Effectiveness for child/youth complex mental health needs. American Psychological Association, Toronto, ON; August, 2009.

Stewart SL, Hirdes J and Currie M. Acknowledging age differences in the needs of inpatient psychiatric service users: The development of a child/youth interRAI Module. Pathways to Resilience II Conference, Halifax, NS; June, 2010.

Stewart SL, Leschied AW, Newnham C, Somerville L, Armieri A and Currie M. A profile of maltreated children who experience serious mental health disorder. Pathways to Resilience II Conference Halifax, NS; June, 2010.

Stewart SL, Swart T and Siman E. Patterns of utilization of seclusion and restraints in dual diagnosis and mental health programs. National Association for the Dually Diagnosed (NADD), Toronto, ON; April, 2010.

Stretch N, Steele M and Davidson B. Child and youth mental health. Society of Rural Physicians of Canada Conference, Toronto, ON; April 23, 2010.

Sun Z and Bartha R. T2‐weighted spin echo pulse sequence that is sensitive to restricted diffusion. ISMRM‐ESMRMB Joint Annual Meeting, Stockholm, Sweden; May 1‐7, 2010.

Sutton LP and Rushlow WJ. The effects of antipsychotics drugs, mood stabilizers and antidepressants on Akt, Wnt, and GSK‐3. Social Neuroscience Conference, 2009.

Ta R, Li A, Suchý M, Hudson R, Pasternak SH and Bartha R. A novel dual MRI‐ PARACEST/fluorescent probe for the detection of cathepsin‐D activity in Alzheimerʹs Disease. ISMRM/ESMRM Joint Annual Meeting, Stockholm, Sweden, May 1‐7, 2010.

Ta R, Suchý M, Hudson RHE, Pasternak SH and Bartha R. In vitro and in vivo detection of a novel MRI/Fluorescent contrast agent for Cathepsin‐D activity in Alzheimerʹs Disease. Imaging Network Ontario, 8th Imaging Symposium, Toronto, ON, February 1‐3, 2010.

Ta R, Suchý M, Hudson RHE, Paternak S and Bartha R. Cellular uptake of a novel MRI/Fluorescent contrast agent for detection of Cathepsin‐D activity in Alzheimerʹs Disease; September, 2009. [Abstracted in Canadian Journal of Geriatrics 12(3):141].

2009-2010 Department of Psychiatry Annual Report 90

Takhar J, Davine J and Karlingsky A. Maximizing your credits: PLPs and audits in the Maintenance of Certification Program. Canadian Psychiatric Association 59th Annual Conference, St. Johnʹs, NL; August 27, 2009.

Taylor R, Théberge J and Williamson PC. Simulating human brain glutamate fMRS at 7.0 to determine minimum SNR requirements. International Society for Magnetic Resonance in Medicine Stockholm, Sweden; 2010.

Taylor R, Williamson PC and Théberge J. Glutamate and glutamine interactions during proton spectral quantification. Imaging Network of Ontario Symposium, 8th Annual Conference, Toronto, ON; February 1‐3, 2010.

Tremblay PF, Dozois DJA, Wells S, Graham K and Pulford R. A longitudinal study of university studentsʹ BDI‐II depressive symptoms. American Psychological Association Annual Meeting, Toronto, ON; August, 2009.

Tremblay PF, Pulford R, Wells S, Graham K, Gardner RC, Harris R, Dozois DJA and Roberts SE. The nature of ʺcoupleʺ conflicts among university students: A 26‐week diary study. 12th Ontario Symposium on Personality and Social Psychology: The Science of the Couple, London, ON; August, 2009.

Velamoor V, Gurrera RJ and Cernovsky Z. Mental status in NMS. American Psychiatric Association Meeting, New Orleans, LA; May 22‐26, 2010.

Wallace MG, Campbell DW, Modirrousta M, Sareen J, Polimeni J, McKeen NA and Reiss JP. So funny I forgot to laugh: The neural correlates of cognitive humour processing. Society for Neuroscience 2010 Conference, San Diego, CA; November 13‐17, 2010.

Williamson PC. Some thoughts on building a research Centre. Invited Presentation to the University of South Dakota, Vermillion, SD; 2009.

Williamson PC. Was Kraepelin right about schizophrenia? Longitudinal MRI and MRS data in the early years of illness. Invited Presentation at Grand Rounds, University of New Mexico, Albuquerque, NM; 2009.

Williamson PC. Neuropsychiatric disorders, the default network and the nature of the human brain. International Congress on the Default Mode Network and Other Intrinsic Networks in Health and Disease, Barcelona, Spain; 2010.

Womelsdorf T, Johnston K and Everling S. Theta frequency synchronization in macaque anterior cingulate cortex predicts current task‐rules and the correction of task‐rules upon incorrect performance. Society for Neuroscience: Neuroscience Meeting Planner, Chicago, IL (online); 2009.

Woolmore‐Goodwin S, Gutmanis I, Purcell T and Borrie M. Clinical trials in dementia: Populations served by the Consortium of Canadian Centres for Clinical Cognitive Research 2009-2010 Department of Psychiatry Annual Report 91

(C5R) Sites. International Conference on Alzheimerʹs Disease, Vienna, Austria; July 11‐16, 2009.

Zur B, Bray‐Jenkyn K, Gutmanis I and Gibson M. Conundrums in the aging at home discourse. Canadian Association on Gerontology, Winnipeg, MB; October 23‐24, 2009.

Zur B, Laliberte‐Rudman D, Bray‐Jenkyn K, Gutmanis I and Gibson M. Reflecting on the aging at home discourse. 15th World International Congress of the World Federation of Occupational Therapists, Santiago, Chile; May 4‐7, 2010.

PEER REVIEWED EXTERNAL GRANTS

Addington D (PI), Adair C, Pryce C, Norman R, Manchanda R and Mitchell B. ʺSetting Standards and Norms for Early Psychosis Treatment Services Using Consensus and Evidence‐Based Performance Measuresʺ. Alberta Heritage Foundation for Medical Research. Total funding: $99,982. Grant term: 2006‐2009.

Bartha R (PI). ʺDetection of PARACEST Agents in Biological Systemsʺ. Natural Sciences and Engineering Research Council of Canada. Total funding: $78,000. Grant term: 2008‐2013.

Bartha R (PI). ʺMagnetic Resonance PARACEST Imaging of In‐vivo Protease Activityʺ. Canadian Institutes of Health Research. Total funding: $401,036. Grant term: 2010‐2014.

Bauman G (PI), Lee T‐Y, Fenster A, Peters T, Chin J and Bartha R. ʺCIHR Team in Image‐ Guided Prostate Cancer Managementʺ. Canadian Institutes of Health Research. Total funding: $4,067,604. Grant term: 2008‐2013.

Berman HA (PI), Mason RA, Classen C, Lanius RA, Macarthur‐Evans MK, Rodger S and Ross LE. ʺEmbodied Trauma: The Influence of Past Trauma on Women during the Transition to Motherhoodʺ. Canadian Institutes of Health Research. Total funding: $207,704. Grant term: 2008‐2011.

Campbell DW, (PI), Reiss JP and Sareen J. ʺMilitary personnel with PTSD: Functional MRI brain imaging, psychotherapy, and emotional responsesʺ. Canadian Institutes of Health Research – Regional Partnership Program. Total funding: $138,876. Grant term: 2008‐2010.

Campbell DW (PI), Reiss JP, Sareen J and Logsetty S. ʺEmotional Regulation in Burn Victims with PTSDʺ. Dr. Paul T. Thorlakson Foundation Fund. Total funding: $28,245. Grant term: 2008‐2009.

Cechetto DF (PI) and Bartha R. ʺCIHR Team in Vascular Cognitive Impairment: Animal Models of Co‐morbidityʺ. Canadian Institutes of Health Research. Total funding: $1,476,286. Grant term: 2010‐2015.

2009-2010 Department of Psychiatry Annual Report 92

Chiu S (PI), Cernovsky Z, Farina‐Woodbury M, Husni M, Bureau Y and Campbell R. ʺStudy of Curcumin, a Putative Neuronal Nitric Oxide Synthetase Inhibitor (nNOS) with Neuroprotective, Antioxidant, Anti‐inflammatory Properties, Isolated from Turmeric Curcuma L and Neurocognitive Impairment in Schizophrenia: Pilot Open‐Label Studyʺ. Stanley Medical Research Institute. Total funding: $96,020 USD. Grant term: 2007‐2012.

Chiu S (PI), Lui E, Bureau Y, Cernovsky Z, Xuang J, Ang CL, Husni M and Helson L. ʺExploring Curcumin and Curcumin Derivatives as putative Epigenetic Target of Histone Deacetylase (HDAC) Inhibition in Parkinson Diseaseʺ. Michael J. Fox Foundation. Total funding: $80,000 US (Milestone I; Milestone II ‐ pending). Grant term: 2009‐2010

Doey T (PI). ʺRecruitment and Retention of Psychiatrists in a Community Setting with an Emerging Academic Focusʺ. Foundation of the Canadian Psychiatric Association. Total funding: $1,153.73. Grant term: 2008‐2010.

Dozois DJA, (PI). ʺInduced Attention Biases, Positive and Negative Emotionality and Self‐ Representationʺ. Social Sciences and Humanities Research Council of Canada. Total funding: $93,217. Grant term: 2007‐2010.

Everling S (PI). ʺRole of Frontal Projections to the Superior Colliculus in Saccade Suppression and Task Switching in Primatesʺ. Canadian Institutes of Health Research. Total funding: $710,000. Grant term: 2006‐2011.

Everling S (PI). ʺInfluence of High‐Level Visual Processes on Saccadic Eye Movementsʺ. Natural Science and Engineering Research Council. Total funding: $177,435. Grant term: 2007‐2012.

Everling S (PI). ʺRelationship Between Neural Activity and Blood Oxygenation Level‐ Dependent (BOLD) Signals in the Primate Frontal Eye Fieldʺ. Canadian Institutes of Health Research. Total funding: $836,635. Grant term: 2008‐2013.

Everling S (PI). ʺA Recording System for ERPs in Nonhuman Primatesʺ. Natural Sciences and Engineering Research Council. Total funding: $76,600. Grant term: 2010‐2011.

Everling S (PI). ʺCellular Mechanisms Underlying Disruption of Working Memory for Abstract Rules in Nonhuman Primatesʺ. Ontario Mental Health Foundation. Total funding: $146,842. Grant term: 2010‐2012.

Fenster A (PI), OʹReilly R, Menon R, Henkelman M, Jaffray D and Burns P. ʺOne Millimeter Cancer Challenge (1mmCC)ʺ. Ontario Institute for Cancer Research (OICR). Total funding: $65,787 (Menon portion). Grant term: 2008‐2012.

Finger E (PI) and Bartha R. ʺUltra‐High Field Structural and Metabolic Imaging in Frontotemporal Dementiasʺ. The Association for Frontotemporal Dementias. Total funding: (applied) $53,100. Grant term: 2010‐2011.

2009-2010 Department of Psychiatry Annual Report 93

Fombonne E (PI), Bryson SE, Burack JA, Evans AC, Iarocci G, Miranda P, Mottron L, Roberts SWG, Rouleau GA, Schere SW, Smith IM, Szatmari P, Volden J, Zwaigenbaum L, Anagnostou E, Boyle MH, Kingstone AF, Mazer BD, Moore C, Muckle G, Nicholas B, Nicolson RJ, Patterson AD, Tanaka J.W., Vaillancourt T and Weksberg R C‐I. ʺCanadian Institutes of Health Research Training Grant in Autism Researchʺ. Canadian Institutes of Health Research. Total funding: $1,950,000. Grant term: 2009‐2015.

Forbes D, Gibson M, Markle‐Reid M and Morgan D. ʺDeveloping Dementia Care Decisions Through Knowledge Exchange in Rural Settings.ʺ. Research Program on Care Practice in Cognitive Impairment in Aging: Alzheimer Society of Canada, Canadian Nurses Foundation, CIHR Institute on Aging and Parkinsons Society of Canada. Total funding: $192,063. Grant term: 2010‐2012.

Forchuk C (PI), Cohen B, Ward‐Griffin C, Berman H, Montgomery P, Speechley M, Hoch J, Rudnick A, Perry S, Hill L, Schofield R, Coatsworth‐Puspoky R, Grinspun D and Lahey P. ʺPoverty and Mental Health: Issues, Challenges and Solutionsʺ. Ontario Mental Health Foundation. Total funding: $150,000. Grant term: 2010‐2012.

Forchuk C (PI), Giustizia A, Annett N, Connoy M, Csiernik R, Diaz K, Edwards B, Elkin D, Fisman S., Godin M, Jeng M, Laverty K, Mitchell B, Norman R, Ouseley S., Rudnick A and Wilk P. ʺYouth Matters in London: Mental health, addiction and homelessnessʺ. Social Sciences and Humanities Research Council of Canada ($150,000) and Mental Health Commission of Canada, ($350,000). Total funding: $500,000. Grant term: 2009‐2010.

Forchuk C (PI), Hoch J, Kingston‐McClure S, Smith C, Wilura E, Jensen E and Vann R. ʺReducing Discharges from Psychiatric Wards to Shelters and No Fixed Addressʺ. Canadian Institutes of Health Research. Total funding: $52,200. Grant term: 2007‐2009.

Forchuk C (PI), Mitchell B and Reiss J. ʺPreventing Homelessness of Mental Health Patients Visiting Emergency Roomsʺ. Social Sciences and Humanities Research Council of Canada. Total funding: $5,600. Grant term: 2009‐2010.

Forchuk C (PI), Perry S, Godin M, Lahey P, Ouseley S, Edards B, Jeng M, Hall P, Rudnick A, Speechley M, Cohen B and Hoch J. ʺPsychiatric Survivors, Poverty, and Social Inclusion. Letter of Intentʺ. Social Sciences and Humanities Research Council of Canada. Total funding: $20,000. Grant term: 2009‐2010.

Forchuk C and Ray S, (Co‐PIs). ʺThe experience of homelessness among Canadian Forces veterans.ʺ. Human Resources and Social Development Canada (HRSDC): Homelessness Knowledge Development Program. Total funding: $90,715. Grant term: 2010‐2011.

Forchuk C, Richardson J, (Co‐PIs), Annett N, Connoy M, Corring D, Csiernik R, Diaz K, Edwards B, Elkin D, Giustizia S, Ousely S and Rudnick A. ʺEvaluation of CAReS: A Street Level Strategy to Address Homelessness, Addictions and Mental Healthʺ. Canadian Institutes of Health Research. Total funding: $7,500. Grant term: 2009‐2010.

2009-2010 Department of Psychiatry Annual Report 94

Forchuk C (PI), Rudnick A and Hardingham LB. ʺDialogue in Clinical Neuroethics: An Exploratory Study of the Impact of Cognitive and Other Mental Impairments on Patient Participation in Ethics Consultationsʺ. Canadian Institutes of Health Research. Total funding: $98,898. Grant term: 2008‐2010.

Frewen P (PI) and Lanius RA. ʺNeuroimaging Studies of Self‐Perception in Women with Major Depression With and Without Posttraumatic Stress Disorderʺ. Ontario Mental Health Foundation. Total funding: $104,346.90. Grant term: 2009‐2011.

Gibson M. ʺDevelopment, Evaluation and Dissemination of a Bilingual Workshop for Dementia Care Providers Entitled ʹFrailty, Dementia and Disasters: What Health Care Providers Need to Know’. Canadian Dementia Knowledge Translation Network (CDKTN), Alzheimer’s Society of Canada (ASC) and Public Health Agency of Canada (PHAC). Total funding: $25,000. Grant term: 2010.

Goodale MA (PI) and Bartha R. ʺCentre for Brain and Mind Neuroimaging Facilityʺ. Ontario Research Fund, Research Excellence Program. Total funding: $2,278,500. Grant term: 2006 ‐ 2011.

Hayden E (PI) and Dozois D. ʺChildhood Temperamental Vulnerability to Internalizing Psychopathology: Emotional and Cognitive Pathwaysʺ. Social Sciences and Humanities Research Council of Canada. Total funding: $157,287. Grant term: 2008‐2011.

Hegadoren KMP, Coupland NJ and Lanius RA. ʺIPV as a Model to Assess Impact of Uncontrollable Severe Stress in Womenʺ. Canadian Institutes of Health Research. Total funding: $108,007. Grant term: 2005‐2010.

Heisel MJ (PI). ʺPromoting Psychological Resiliency to Late‐Life Depression and Suicide Riskʺ. Canadian Institutes of Health Research New Investigator Award, Institute of Aging and Institute of Gender and Health. Total funding: $300,000. Grant term: 2007‐2012.

Heisel MJ (PI). ʺPreventing Suicide Among Older Adults: Enhancing Resiliency, Reducing Risk, and Translating Knowledge to Practiceʺ. Ontario Ministry of Research and Innovation Early Researcher Award (ERA). Total funding: $190,000. Grant term: 2009‐2012.

Heisel MJ (PI) and Flett GL. ʺPsychological Resiliency and Suicide Risk Among Community‐Residing Older Adultsʺ. Ontario Mental Health Foundation. Total funding: $150,000. Grant term: 2008‐2010.

Heisel MJ (PI) and Moore S. ʺCanadian Coalition for Seniorsʹ Mental Health: Suicide Prevention in Older Adults Knowledge Translation Projectʺ. Canadian Institutes of Health Research, The Betty Havens Award for Knowledge Translation in Aging. Total funding: $50,000. Grant term: 2008‐2009.

2009-2010 Department of Psychiatry Annual Report 95

Jenkyn B, Zur B, Gibson M and Gutmanis L. ʺAn Exploration of the Aging at Home Discourse and Existing Aging at Home Strategiesʺ. Ontario Research Coalition Early Researcher Award. Total funding: $20,000. Grant term: 2009‐2010.

Kauppi C, (PI), Darren M, Sereau T, Garceau M, Garg R, Kinsman G, Lacassagne A, MacLean B, Montgomery P, Pallard H, Pastoret C, Virchez G, Webster S, Bavington D, Srigley K, Forchuk C, Nicholson V, Bouchard P, Bussieres L, Poliquin L and Fitzmaurice K. ʺCommunity‐Based Responses to Poverty, Homelessness and Migration in Northern Communitiesʺ. Social Sciences and Humanities Research Council of Canada. Total funding: $1,000,000. Grant term: 2010‐2015.

Lanius R (PI) and Neufeld RWJ. ʺNeural and Behavioural Correlates of Autobiographical Memory Performance in Patients with Post‐Traumatic Stress Disorder and/or Major Depression Following Motor Vehicle Crashʺ. Canadian Institutes of Health Research. Total funding: $354,985. Grant term: 2009‐2013.

Lanius RA. ʺIntergenerational Transmission of Traumaʺ. Judith Harris Foundation. Total funding: $750,000. Grant term: 2008‐2010.

Lanius RA, Coupland NJ, Frewen P, Hegadoren, KM, Neufeld RWJ and Williamson PC. ʺNeural Correlates of Social and Non‐social Emotion Processing in Women with Childhood Interpersonal Violenceʺ. Canadian Institutes of Health Research. Total funding: $100,000. Grant term: 2009.

Leung L‐W (PI) and Rajakumar N. ʺHippocampal Theta Oscillations ‐ Generation and Behavioral Functionsʺ. Canadian Institutes of Health Research. Total funding: $455,000. Grant term: 2007‐2012.

Malla A (PI), Brown TG, Joober J, Norman RMG, Rochford R and Schmitz N. ʺAn Evaluation of a Targeted Intervention for Reducing Delay in Treatment of First Episode of Psychosisʺ. Canadian Institutes of Health Research. Total funding: $284,720. Grant term: 2006‐2010.

Malla A (PI), Joober J, Norman RMG, Schmitz N, Latimer EA, Abdel‐Baki A, Brown T and Nordentoft M. ʺA Randomized Controlled Evaluation of Extended Specialized Early Intervention Service Versus Regular Care for Management of Early Psychosis over the Five Year Critical Periodʺ. Canadian Institutes of Health Research. Total funding: $2,367,886. Grant term: 2009‐2014.

Markle‐Reid M, Miles M, Mackinnon B, Pierce T, Browne G, Forbes D, George L, Gibson M, Hoch J and Thabane L. ʺThe Effects and Costs of a Nurse‐Led, Interprofessional Mental Health Promotion Intervention for Depressed Older Adults Using Home Support Servicesʺ. Partnerships for Health Systems Improvement, Canadian Institutes of Health Research. Total funding: $350,000. Grant term: 2009‐2012.

2009-2010 Department of Psychiatry Annual Report 96

Menon R (PI) and Bartha R. ʺPARACEST MRI Contrast Agents for Early Cancer Detectionʺ. Ontario Institute for Cancer Research. Total funding: $321,482. Grant term: 2008‐2012.

Menon R, Bartha R (Co‐PIs), Chronik B, Culham JC, Dekaban GA, Everling S, Foster PJ, Goodale MA, Huff MW and Williamson PC. ʺCentre for Functional and Metabolic Mappingʺ. Canadian Institutes of Health Research. Total funding: $696,850. Grant term: 2007‐2012.

Menon RS (PI). ʺShedding Light on the Origin of BOLDʺ. Natural Sciences and Engineering Research Council of Canada, Discovery Grant. Total funding: $225,000. Grant term: 2007‐ 2012.

Menon RS (PI), Bartha R, Chronik B, Lee TY, Henkleman M, Sled J, Taylor M, Kassner A and Mikulis D. ʺMaking a Better Brain: An Ontario Neuroimaging Consortiumʺ. Ministry of Research and Innovation Research Excellence Program. Total funding: $219,101 (Menon portion). Grant term: 2007‐2012.

Menon RS (PI) and Goodale M. ʺFunctional Brain Imaginingʺ. Ontario Innovation Trust (OIT). Total funding: $1,440,000. Grant term: 2009‐2010.

Menon RV (PI). ʺCanada Research Chair in Functional and Molecular Imagingʺ. Canadian Institutes of Health Research. Total funding: $200,000. Grant term: 2005‐2012.

Mitchell D (PI). ʺThe Functional Neuroanatomy of Emotional Representation, Integration, and Controlʺ. Natural Sciences and Engineering Research Council of Canada, Discovery Grant. Total funding: $75,000. Grant term: 2008‐2013.

Mitchell D (PI), Williamson P and Osuch E. ʺModulating Neural Responding to Positive and Negative Stimuli in Untreated Patients with Major Depressionʺ. Ontario Mental Health Foundation. Total funding: $105,000. Grant term: 2008‐2011.

Mitchell DGV (PI) and Neufeld J. ʺIndividual Differences in Distinct Facets of Empathy and the Factors That Influence Their Expressionʺ. Social Sciences and Humanities Research Council of Canada, Research Grant. Total funding: $98,414. Grant term: 2009‐2012.

Montero‐Odasso M (PI) and Bartha R. ʺGait Variability as Predictor of Cognitive Decline and Risk of Falls in MCI. A Cohort Studyʺ. Canadian Institutes of Health Research. Total funding: $750,000. Grant term: 2010‐2015.

Montgomery P (PI), Forchuk C, Bailey PH and Duncan C. ʺEvaluation of Supported Housing Programs for Persons Living With Serious Mental Illness in Northeastern Ontarioʺ. Ontario Mental Health Foundation. Total funding: $122,414. Grant term: 2008‐2010.

Moynihan JA (PI) and Heisel MJ. ʺMindfulness to Improve Eldersʹ Immune and Health Statusʺ. U.S. National Institute on Aging. Total funding: $1,766,690 USD. Grant term: 2006‐ 2010. 2009-2010 Department of Psychiatry Annual Report 97

Neufeld RWJ (PI). ʺCoping with Stress Through Decisional Control: Investigating Formal and Quasi‐Formal Modelsʺ. Social Sciences and Humanities Research Council of Canada. Total funding: $83,645. Grant term: 2007 ‐ 2010.

Nicolson RJ (PI), Drost D, Gelman N, Neufeld J, Théberge J and Williamson P. ʺNeurobiological Markers of Aberrant Connectivity in Autismʺ. Canadian Institutes of Health Research. Total funding: $383,967. Grant term: 2008‐2011. Norman RMG (PI), Sorrentino R, Manchanda R and Malla A. ʺSocial Psychological Influences on the Stigma of Mental Ilnessʺ. Social Sciences and Humanities Research Council of Canada. Total funding: $81,300. Grant term: 2007 ‐ 2010.

Osuch E (PI), Williamson PC, Théberge J, Neufeld RWJ and Mitchell DG. ʺMajor Depression and Marijuana Use in Youth: Neurofunctional, and Cognitive Interactionsʺ. Ontario Mental Health Foundation. Total funding: $150,000. Grant term: 2009‐2011.

Prato F, Koropatnick J, (Co‐PIs), Chronik B, Dhanvantari S, Lee T‐Y, Rutt B, Thomas A, Thompson T, Urbain J‐L and Williamson PC. ʺBiomedical Multimodal Hybrid Imagingʺ. Canadian Foundation for Innovation/Ontario Research Fund. Total funding: $19,982,000. Grant term: 2007 ‐ 2012.

Rajakumar N (PI). ʺPrefrontal Cortical Modulation of Stress Responseʺ. Natural Sciences and Engineering Research Council of Canada. Total funding: $60,000. Grant term: 2009‐2012.

Reid G, Stewart SL and Neufeld RWJ. ʺPredicting and Understanding Patterns of Service Utilization Within Childrenʹs Mental Health Agenciesʺ. Canadian Institutes of Health Research. Total funding: $336,160. Grant term: 2010‐2014.

Reid GJ, Stewart SL, Barwick M, Cunningham CE, Carter J, Evans B, Leschied AW, Neufeld R, St. Pierre J, Tobon JI, Vingilis E and Zaric G. ʺExploring Patterns of Service Utilization Within Childrenʹs Mental Health Agenciesʺ. The Provincial Centre of Excellence for Child and Youth Mental Health at CHEO. Total funding: $149,467. Grant term: 2008‐2010.

Rushlow WJ (PI). ʺD2 Dopamine Receptor Regulation of Dopamine and NMDA Glutamate Receptorsʺ. Natural Sciences and Engineering Research Council of Canada. Total funding: $180,000. Grant term: 2006‐2011.

Rushlow WJ (PI). ʺRegulation of Locomotor Activity by GSK‐3 and GSK‐3 Regulatory Proteinsʺ. Ontario Mental Health Foundation. Total funding: $150,000. Grant term: 2010‐ 2012.

Rushlow WJ (PI) and Rajakumar N. ʺInvolvement of the PI‐3K‐AKT‐GSK‐3 Signal Transduction Pathway in the Manifestation and Amelioration of Schizophrenic Symptomsʺ. Ontario Mental Health Foundation. Total funding: $150,000. Grant term: 2008‐2010.

2009-2010 Department of Psychiatry Annual Report 98

Sharma V (PI). ʺBipolar Disorder: Screening, Prevalence, and Neonatal Outcomesʺ. Ontario Mental Health Foundation. Total funding: $289,800. Grant term: 2010‐2014.

Sharma V (PI), Campbell K, Bartha R, Hampson E and Khan M. ʺHeterogeneity of Postpartum Depression: Continuation of a Prospective Study of Nature, Prevalence, Course and Etiologyʺ. Ontario Mental Health Foundation. Total funding: $150,000. Grant term: 2007‐2009.

Singh S (PI) and OʹReilly R. ʺCopy Number Variations in Functionally Interacting Positional (22q11) Candidate Genes of Schizophreniaʺ. Ontario Mental Health Foundation. Total funding: $149,200. Grant term: 2008‐2009.

Singh S (PI) and OʹReilly R. ʺMethylation and Expression Studies on High Priority Candidate Genes for Schizophrenia Using Exceptional Samplesʺ. Schizophrenia Society of Ontario ‐ The Tam Grant Fund. Total funding: $100,000. Grant term: 2008‐2009.

Singh S (PI), OʹReilly R and Scherer S. ʺGene Discovery in Schizophrenia Using Copy Number Variations (CNVs) in High‐Risk Monozygotic (MZ) and Dizygotic (DZ) Twinsʺ. Canadian Institutes of Health Research. Total funding: $549,498. Grant term: 2008‐2010.

Stewart M (PI), Bainbridge L, Beaulieu MD, Brown JB, Bruge F, Dolovich L, Dozois DJA, Goudreau J, Haggerty J, Harris S, Kothari A, Lalonde R, Martin‐Misener R, McWilliam C, Ramsden V, Reid G, Thind A, Thomas‐MacLean R, Vingilis E, Watt S and Wong SG. ʺTransdisciplinary Understanding and Training on Research ‐ Primary Health Care (TUTOR‐PHC)ʺ. Canadian Institutes of Health Research Strategic Training Initiative in Health Research (STIHR) Programme. Total funding: $1,950,000. Grant term: 2009‐2015.

Tibbo P (PI) and Bartha R. ʺQuantitative Proton Spectroscopy of White Matter at 4‐Tesla in First Episode Psychosis, Part II: A Clinical Studyʺ. Canadian Institutes of Health Research. Total funding: $186,963. Grant term: 2008‐2013.

Tibbo P, (PI) and Bartha R. ʺDevelopment and Preliminary Testing of In‐Vivo Localized Proton Magnetic Resonance Spectroscopy at 4‐Teslaʺ. Nova Scotia Health Research Foundation. Total funding: $14,000. Grant term: 2010‐2011.

Tibbo PG (PI) and Bartha R. ʺQuantitative Proton Spectroscopy of White Matter at 4‐Tesla in Frist Episode Psychosis, Part II: A Clinical Studyʺ. Nova Scotia Health Research Fund. Total funding: (applied) $150,000. Grant term: 2010‐2013.

Williamson P, (PI), Osuch E, Drost D, Menon R, Manchanda R, Théberge J, Neufeld RWJ, Rajakumar R and Pavlosky W. ʺCandidate Neuronal Circuits in Schizophreniaʺ. Canadian Institutes of Health Resarch, Operating Grant. Total funding: $569,075. Grant term: 2007‐ 2012.

Wolfe D (PI), LeBlanc J, Craig W, Hymel S, Crooks C, Jaffe P, Josephson W, Battiste M, Ballon B and Cirney J. ʺCanadian Prevention Science Cluster for Children and Youthʺ. Social 2009-2010 Department of Psychiatry Annual Report 99

Sciences and Humanities Research Council of Canada. Total funding: $2,253,741. Grant term: 2009‐2010.

Womelsdorf T (PI) and Everling S. ʺNeural Mechanisms Underlying the Emergence of Selective Attentional Controlʺ. Canadian Institutes of Health Research. Total funding: $855,800. Grant term: 2010‐2015.

Yatham, LN (PI), Sharma V and CANMAT Group. ʺMood Stabilizer Plus Antidepressant Versus Mood Stabilizer Plus Placebo in the Maintenance Treatment of Bipolar Disorderʺ. Canadian Institutes of Health Research. Total funding: $395,030. Grant term: 2009‐2013.

Zelcer S (PI), Cautadella D and Heisel MJ. ʺDevelopment of the P‐SCS: The Pediatric Supportive Care Scaleʺ. C17 Research Network: Canadian Centres Battling Cancer and Blood Disorders in Children. Total funding: $113,374. Grant term: 2009‐2011.

INTERNAL GRANTS

Burneo J (PI) and Bartha R. ʺAn Exploratory Study to Assess the Role of 7T Structural and Metabolic MR in the Evaluation of Patients with Non‐Lesional Temporal Lobe Epilepsyʺ. UWO, Clinical Neurological Sciences Department Internal Funds. Total funding: $15,000. Grant term: 2009‐2011.

Corring D (PI), Rudnick A, Campbell R and Harris R. ʺCognitive Remediation for Inpatients with Schizophrenia or Schizoaffective Disorder Using ʺSmartʺ Technology in a Simulated Apartment: A Feasibility and Exploratory Studyʺ. St. Josephʹs Health Care London Foundation and UWO Dept. of Psychiatry Seed Funding. Total funding: $17,000. Grant term: 2009‐2010.

Fisman S (PI) and Steele M. ʺRecruitment and Retention of Junior Faculty: A Qualitative Review of Clinical Departmental Strategiesʺ. Opportunity Fund, LHSC and St. Josephʹs Health Care. Total funding: $18,187. Grant term: 2009‐2010.

Frewen P, Dozois D and Lanius R. ʺPilot fMRI Study of Self‐Perception in Healthy Womenʺ. UWO Dept. of Psychiatry Seed Funding. Total funding: $5,000. Grant term: 2008‐ 2011.

Frewen PA, Reiss J, Moran G, Evans B and Lanius R. ʺValidation of a Computerized Childhood Attachment and Relational Trauma Scale (CARTS) Within an Inpatient Psychiatry Settingʺ. UWO Dept. of Psychiatry Seed Funding. Total funding: $5,000. Grant term: 2009‐2010.

Frewen PA, Moran G, Reiss JP and Lanius R. ʺChildhood Assessment of Relationships & Trauma Scale (CARTS)ʺ. UWO Dept. of Psychiatry Seed Funding. Total funding: $2,500. Grant term: 2009‐2010.

2009-2010 Department of Psychiatry Annual Report 100

Gutmanis I (PI). ʺUsing Theatre to Explore Long‐term Care Home Health Care Provider Needsʺ. Canadian Dementia Knowledge Translation Network, Alzheimer’s Society of Canada, and an award from the Interprofessional Education Office, UWO to Specialized Geriatric Services. Total funding: $9,700. Grant term: 2010.

Haensel H (PI), Eichstedt J, Collins KA and Phoenix E. ʺThe Management of Childhood Anxiety disorders in Community Settings: A Survey of Mental Health Providersʺ. UWO Dept. of Psychiatry Seed Funding. Total funding: $500. Grant term: 2009‐2010.

Harricharan R (PI), Manchanda R and Northcott S. ʺSupportive Employment Initiativeʺ. LHSC Opportunity Fund. Total funding: $7,000. Grant term: 2009‐2010.

Manchanda R (PI), Harricharan R and Northcott S. ʺFamilies Coping with Stigmaʺ. LHSC Opportunity Fund. Total funding: $15,800. Grant term: 2009‐2010.

Manchanda R (PI), Harricharan R and Northcott S. ʺHome Assessment/Treatment for First Episode Psychosisʺ. LHSC Opportunity Fund. Total funding: $18,616. Grant term: 2009‐ 2010.

Norman RMG (PI), Gawronski B, Hampson EA and Sorrentino R. ʺThe Role of Evaluative Processes in Reducing the Stigma of Mental Illnessʺ. Academic Development Fund, UWO. Total funding: $34,310. Grant term: 2010‐2011.

Northcott S (PI), Harricharan R and Manchanda R. ʺPEPP Music Programʺ. LHSC Opportunity Fund. Total funding: $5,000. Grant term: 2009‐2010.

Northcott S (PI), Harricharan R and Manchanda R. ʺPEPP Peer Support Initiativeʺ. LHSC Opportunity Fund. Total funding: $5,190. Grant term: 2009‐2010.

Osuch E (PI). ʺFirst Episode Mood and Anxiety Program (FEMAP)ʺ. LHSC Opportunity Fund. Total funding: $20,000. Grant term: 2009‐2010.

Osuch E (PI) and Vingilis E. ʺImplementation and Evaluation of a Novel Practice Model for Early Identification and Intervention for Mood and Anxiety Disordersʺ. AHSC AFP Innovation Fund. Total funding: $300,000. Grant term: 2009‐2012.

Rajakumar N (PI). ʺMolecular Mechanisms of Human Language Developmentʺ. UWO Dept. of Psychiatry Seed Funding. Total funding: $5,000. Grant term: 2009‐1020.

Rajakumar N (PI). ʺMolecular Mechanisms of Human Language Developmentʺ. Autism Center of Excellence, UWO. Total funding: $5,000. Grant term: 2009‐2010.

OTHER GRANTS

Chiu SS (Project Lead), Campbell R, Cernovsky Z, Carr J, Xuan JW, Prakash G, Dua V, Rybak YE, Shrivastava A, Bureau Y, Lalone L, Foskett A, Sidhu GS, Hand K, Singh A and 2009-2010 Department of Psychiatry Annual Report 101

Copen J. ʺMulti‐functional Outcome Study of Ziprasidone Switch in Bipolar Disorder: Differential Mediating Effects of e‐SMART Program Versus Usual Careʺ. Pfizer Canada. Total funding: $181,000. Grant term: 2010‐2012.

Forchuk C (PI), Mitchell B and Reiss JP. ʺPreventing Homelessness of Mental Health Patients Visiting Emergency Rooms ʺ. UWO, SSHRC Internal Competition. Total funding: $7,000. Grant term: 2009‐2010.

Harricharan RP (PI), Manchanda R and Northcott S. ʺA Canadian Multicentre, Open‐label, Prospective Long‐term Study Evaluating the Clinical Benefit and Effectiveness of Quetiapine Fumarate Extended‐Release Tablets (Seroquel XR) in Subjects with Schizophreniaʺ. Astra Zeneca Pharmaceutical Company. Total funding: $23,362.39. Grant term: 2009‐2010.

Jaffe P (PI) and Hughes R. ʺSkill Building for Parents in Addressing Media Violenceʺ. Ontario Ministry of Education. Total funding: $25,000. Grant term: 2009‐2010.

Jaffe P (PI) and MacQuarrie B. ʺRisk Assessment Forumʺ. Ontario Womenʹs Directorate. Total funding: $422,000. Grant term: 2009‐2011.

Lamoure J (PI), Rudnick A, Lefcoe D and Cortese L. ʺA Retrospective Case Report Series of Patients (post‐marketing) Receiving Olanzapine Intramuscular (IM) Outside of Product Monograph Dose and Indications: Assessing Safety and Tolerabilityʺ. Eli Lilly Canada. Total funding: $8100. Grant term: 2006‐2010.

Lanius R (Co‐PI), McKinnon MC and Jetly LtCol R. ʺDefault Connectivity as a Predictor of Post‐traumatic Stress Disorder Symptomatology and Behavioural Correlates of Autobiographical Memory in Post‐Traumatic Stress Disorderʺ. Department of National Defense Canada. Total funding: $358,000. Grant term: 2009‐2011.

Links PP, Bender A, Farvolden P, Gnam W, Lanius R, OʹGrady J, Strike C, Taback N, Bergmans Y and Murphy K. ʺPrevention and Treatment of Acute Psychological Trauma: A Case Study in Public Transitʺ. Workers Safety and Insurance Board. Total funding: $446,069.97. Grant term: 2007‐2010.

Manchanda R (PI) and Harricharan R. ʺPharmacoepidemiologic International Longitudinal Antipsychotic Registry ‐ PILARʺ. Janssen‐Ortho Inc. Total funding: $28,340. Grant term: 2008‐2010.

Manchanda R (PI), Harricharan R and Northcott S. ʺA 16 Week Randomized Controlled Trial of the Effect of Aripiprazole vs Standard of Care of Non‐HDL Cholesterol among Patients with Schizophrenia and Bipolar I Disorder who have Pre‐existing Metabolic Syndromeʺ. Bristol‐Myers Squibb Canada, Inc. Total funding: $9000. Grant term: 2009 (on‐ going).

2009-2010 Department of Psychiatry Annual Report 102

Rudnick A (PI). ʺAdherence Enhancementʺ. Janssen‐Ortho. Total funding: $10,500 (unrestricted grant). Grant term: 2008‐2010.

Rudnick A (PI). ʺHumor‐Related Interventions for Mental Health Care Service Users: A Feasibility and Exploratory Study ʺ. Astra Zeneca. Total funding: $16,000 (unrestricted grant). Grant term: 2009‐2010.

Sharma V (PI). ʺA 16‐week Randomized Controlled Trial of the Effect of Aripiprazole Versus Standard of Care on Non‐HDL Cholesterol Among Patients with Schizophrenia and Bipolar I Disorder Who Have Pre‐Existing Metabolic Syndrome (CN138‐564)ʺ. Bristol Myers Squibb, Inc. Total funding: $45,340. Grant term: 2009‐2010.

Sharma V (PI). ʺTreatment of Postpartum Depression with Duloxetineʺ. Eli Lilly Canada Inc. Total funding: $52,129. Grant term: 2009‐2011.

Sharma V (PI). ʺA randomized, Double‐Blind, Placebo‐Controlled Exploratory Study of Augmentation of Seroquel XR with Pramipexole Dihydrochloride for Bipolar Depressionʺ. Astra Zeneca, Inc. Total funding: $105,855. Grant term: 2010‐2011.

Steele M (PI), Davidson B, Zayed RS, Stretch N, Doey T and Sylvester H. ʺChild and Adolescent Mental Health: Needs and Interests Among Family Physicians, General Practitioners and Paediatricians Located in Rural and Remote Areas. A Canadian Collaborative Studyʺ. Combination of Sources. Total funding: $158,332.00. Grant term: 2008‐ 2010.

Stewart SL. ʺWorking Together for Kidsʹ Mental Healthʺ. Ministry of Children and Youth Services Policy Development and Program Design Division. Total funding: $75,000. Grant term: 2010‐2011.

Stodilka R (PI), Lanius R and Neufeld RWJ. ʺInvestigation of the Effects of Closed Head Injury Using Neurophysiological, Neuroimaging and Neurocognitive Assessmentʺ. Department of National Defense Canada. Total funding: $559,000. Grant term: 2007‐2011.

Stodilka RZ (PI), Prato FS, Thomas AW, Legros A, Thompson RT, Théberge J and Pavlosky WF. ʺLocalizing Brain Activities with EEG and MRIʺ. Defense Research and Development Canada. Total funding: $149,604. Grant term: 2009‐2010.

Swenson R (PI) and Rudnick A. ʺSurvey of Mental Health Services in Smaller Communities in Northern Ontarioʺ. Ontario Psychiatric Outreach Programs, Ontario Ministry of Health. Total funding: $130,000. Grant term: 2008‐2010.

2009-2010 Department of Psychiatry Annual Report 103

Bioethics in the Department of Psychiatry Dr. Abraham (Rami) Rudnick Bioethics Director Department of Psychiatry

The Bioethics Program of the Department of Psychiatry at the University of Western Ontario (UWO) continues to be a leading academic bioethics program in North American psychiatry. The Bioethics Program promotes teaching, research and development in various ways. In 2009/10, these academic initiatives included:

• The growth of the Canadian Unit of the International Network of the UNESCO Chair in Bioethics. The unit, established in 2009, focuses particularly on postgraduate and continuous professional education, and its head is Dr. Abraham (Rami) Rudnick. An advisory board with bioethics and education expertise from across UWO and its teaching hospitals as well as from other universities in Canada and from the Canadian Medical Association supports the unit. The unit’s research on intraprofessional (interspecialty) bioethics education and practice was presented at the International Conference on Bioethics Education in Israel in May 2010. More research on this topic and other relevant topics is in planning. • The annual summer bioethics course for the new UWO psychiatry residents. • Quarterly clinical ethics seminars, where junior and senior residents present and discuss ethically challenging cases. These seminars also included a session on organizational ethics, presented by LHSC bioethicist Robert Sibbald. • Promotion of quarterly integrated bioethics rounds across the academic mental health care programs at RMHC and LHSC. • Bioethics research, such as a current CIHR-funded study on dialogue in bioethics consultations in mental health care and other health care fields, led by Abraham (Rami) Rudnick. • A bioethics research fellowship, with opportunities for the fellow to attend various bioethics forums; this fellowship, supervised by Dr. Abraham (Rami) Rudnick, is offered to interested psychiatrists and other physicians from Canada and elsewhere, and lasts 1 – 3 years per fellow. Dr. Kyoko Wada completed her first year of this fellowship, with peer-reviewed publication and presentations. • Representation of psychiatry in many relevant bioethics committees and groups in London, such as the UWO Health Sciences Research Ethics Board (HSREB), the UWO University Council on Research Ethics (Chaired by Dr. Abraham (Rami) Rudnick), the SJHC Health Care Ethics Committee, and the RHC Ethics Committee. • Consultation to regional partners and beyond as part of bioethics capacity building. An invited ethics consultation was provided to a community agency specializing in developmental disabilities.

The London Hospitals Mental Health Care Programs

Dr. Sandra Fisman, Chair/Chief and Ms. Sandy Whittall Chair/Chief and Senior Medical Director Integrated Vice-President Integrated Mental Health, London Health London Health Sciences Centre and Sciences Centre and St. Joseph’s Health Care St. Joseph’s Health Care

A key success factor in our clinical academic enterprise is an alignment between the London Hospitals Clinical Services and the strategic direction of the academic department. In the 2009-2010 Department of Psychiatry Annual Report 104 case of the Mental Health Care Programs at LHSC and RMHC and the Department of Psychiatry, we have these alignments. Top of mind is the development of ambulatory care to support inpatient and emergency services. The continuum of care is also a necessary substrate for the training of residents and medical students. While the mandates for the acute care and specialized mental health care ambulatory services at LHSC and RMHC will vary, the integration and collaboration of these services will be an ultimate goal, with the added vision of connecting these hospital services with a seamless network of community services.

After a decade of restructuring activities in London, we are finally at the end of this long journey. The Child & Adolescent Mental Health Care Program will be united as a comprehensive continuum of care at Victoria Hospital in the fall of 2010. The acute care Adult Mental Health Care Program, with its general and subspecialty streams, will move to Victoria Hospital in the spring of 2011. Ground breaking for the new specialized mental health care facilities will take place at the London Parkwood site and, for the Forensic Hospital at the St. Thomas site, in the spring of 2011 with an anticipated completion date of 2013.

These new facilities are beautifully designed, bright, modern and purpose built and will be an important component of the much needed destigmatization of mental illness. For the acute care programs across the life span, reunion with our medical, surgical, pediatrics, women’s, neurological and cancer clinical services will enhance the clinical and academic relationships that we have built, particularly over the past five years. Throughout the period of isolation and disconnection with the “home alone” experience at South Street, there has been an opportunity for team building and resilience which hopefully will stand the programs in good stead after the moves at Milestone 2 Phase 2. Our Consultation Liaison teams at University Hospital and Victoria Hospital have ensured our ongoing connection with the rest of the hospital at London Health Sciences Centre as has the Centralized Emergency Psychiatry Service (CEPS) at Victoria Hospital.

A key success factor for us at London Health Sciences Centre has been the additional funding through the Ministry of Health & Long Term Care and the Ontario Medical Association agreement and the Alternative Funding Plan. These funds have has allowed us to recruit a new cohort of faculty to provide clinical service and engage in academic activities across the life span. This new funding has also allowed us to establish specialty clinics for individuals who have mental illness and are also involved with the courts for people with addictions and mental health difficulties and to expand our child & adolescent and geriatric ambulatory services.

There is significant work ahead over the next 12 to 24 months as Tier 2 divestment occurs in accordance with the Health Services Restructuring Committee recommendations. Beds and services for specialized mental health care will be divested to Grand River Hospital in Kitchener, to Windsor Regional Hospital and to Hamilton. Schedule 1 services currently provided by Regional Mental Health Care will be repatriated to Cambridge Memorial Hospital and St. Thomas-Elgin General Hospital. Amidst this sea of change is a parallel shift in the model of specialized mental health care to a recovery based model that is client and family centred and emphasizes Psychosocial Rehabilitation. It is an important time and an opportunity for the hospital and community sector to come together and plan for a more integrated mental health care network.

We would like to thank our mental health leadership, both medical and administrative, at London Health Sciences Centre and Regional Mental Health Care for their contributions to creation of a better mental health care delivery system. Co-ordination of access to our bedded and non-bedded services, improvement in the quality of care and a safe 2009-2010 Department of Psychiatry Annual Report 105 environment for patients and staff have been the goals of our leadership team. Thank you to the efforts of our Site Chief, Dr. Sarah Jarmain, Directors, Dr. Deb Corring, Janice Vandevooren, Jill Mustin-Powell, Bonnie Kotnik and now, Jennifer Speziale, and our Physician Leaders, Drs. Abraham Rudnick, Robbie Campbell, Jack Ellis and Lisa Van Bussel. We would also like to acknowledge the leadership of Dr. Gregory McCarthy who, along with Janice Vandevooren, has moved the Concurrent Disorder Program at Regional Mental Health Care to a non-bedded, integrated service to all programs. We are reaping the benefits of the capacity building that he has led both in our hospital and the region and the accessibility to the Concurrent Disorder Outpatient Team.

At London Health Sciences Centre, Drs. Margaret Steele and Jeffrey Reiss (Site Chiefs for the Child & Adolescent and Adult Mental Health Care Programs respectively) have led the M2P2 project toward its pending successful conclusion with Dr. Beth Mitchell, Director of the Mental Health Care Program. In addition to our appreciation to these dedicated leaders, we acknowledge the cascade of managers, co-ordinators and physician leaders who work together to meet daily challenges and ensure an optimum treatment experience for our patients whether they are inpatient or ambulatory. Their efforts continue to improve the emergency experience for mental health patients accessing the emergency room, to reduce wait times in so far as is possible and, most importantly to develop effective alternatives to the use of the emergency room for individuals in crisis without concurrent medical issues. For all of this, we are indebted to our dedicated leaders, physicians and staff.

Our academic support for interprofessional training and practice aligns well with the changes in our model of care. Mutual understanding of the bilateral benefits for educational scholarship and clinical research will facilitate the translation of academic endeavor into meaningful clinical practice ensuring a vibrant academic health sciences environment.

Finally, we remain committed to the benefits of early interventions for mental illness. Our Program for Early Intervention & Prevention in Psychosis (PEPP) remains a flagship program nationally and internationally. Our First Episode Mood & Anxiety Program remains a provincial and national innovation and is generating important research into the study of these disorders. Both of these programs provide a small “dent” in the identified need for early intervention services for transitional youth and young adults.

We have reached a point of no return – with the current strength in our leadership, physicians and staffs, we are well along the way to the vision of an integrated academic mental health network. There remains much to do – but we have the strength to do it and “together we can”.

Department of Psychiatry Faculty

Professor & Chair/Chief Fisman, Sandra

Child and Adolescent Psychiatry Division

Professor & Chair Adjunct Faculty (cont’d) Steele, Margaret De Oliveira, C.A. Doey, Tamison Professor Emeritus Eichstedt, Julie Dubois, John (Jack) Elliott-Faust, D. Evans, Barrie

2009-2010 Department of Psychiatry Annual Report 106

Assistant Professors Heintzman, John Armstrong, Sarah Hurley, Dermot Dourova, Nevena Jeanson, Julie Haensel, Heidi Jerome, Laurence Hall, Patricia Lazosky, Andrea Helmi, Sanaa Lee, Joanne Isserlin, Leanna McIntosh, William Kizilbash, Kamran McKinlay, Duncan Loveday, Ben Mirza, Rida Makhdoom, Sohail Ouellette, Don Ninan, Ajit Phoenix, Liz Rizvi, Naveed Presse, Monique Rabenstein, Stephanie Cross-Appointments Ralyea, Evan Jaffe, Peter Rodenhurst, Mary Mitchell, Clare Short, Judith Sigurdson, Craig Adjunct Faculty Stare, Liga Bilkey, Timothy Stewart, Shannon Braimoh, Gani Swart, Toni Bresett, Alana Thorpe, Marilyn Brisebois, Sharon Van Meyel, Rita Broadbent, Debra Workman, Allan Brown, Alan Wojakowski, Krystana Cane, Jessica Zayed, Richard Carter, Jeff Chovaz, Cathy

Developmental Disabilities Division

Associate Professor & Chair Adjunct Faculty Nicolson, Rob Gardiner, Joan La Rose, Louise Professor Emeritus De Vito, Tim Goldberg, Ben Sandieson, R.W. Gillis, Greg Associate Professors Rao, Jay

Members of Development Disabilities Research Group (Additional to Faculty)

Ansari, Daniel Siu, Victoria Barrera, F.J. Swart, Toni Campbell, Craig MacFabe, Derrick Cardy, Janis Mandich, Angela Orange,J.B. Morton, Bruce Prasad, Narayan Hayden, Elizabeth Rupar, Tony Joanisse, Marc Sandieson, R.W. Jenkins, Mary Segal, A.U. Young, Bryan Stewart, Shannon

2009-2010 Department of Psychiatry Annual Report 107

Forensic Psychiatry Division

Associate Professor & Chair Adjunct Faculty Mejia, Jose Komer, William Litman, Larry Assistant Professor Norris, Phillip Ellis, Jack Prakash, Arun Roopchand, Rupa Swaminath, Sam

General Adult Psychiatry Division

Professor & Chair Assistant Professors (cont’d) Adjunct Faculty(cont’d) Reiss, Jeffrey Hertzman, Daniel Pelz, Margaret Owen, Richard Reid, Brian Professor Emeritus Watling, Mark Richardson, Donald Lohrenz, John Sheskin, Rena Adjunct Faculty Silcox, JoAnn Professors Brownstone, Desi Sussman, Sam Manchanda, Rahul Campbell, Neil Truant, Greg Norman, Ross Carr, Jason Wardrop, Nancy Egan, Ray Weisz, Gary Associate Professors Francis, Judith Chamberlain, Charles Friesen, Walter Cross-Appointments Chandarana, Praful Gupta, Madhulika Dozois, David Devarajan, Siva Hanna, Ed Judson, Martyn Harricharan, Rajendra Hjertaas, Trevor Mitchell, Beth Associate Professors (cont’d) Adjunct Faculty (cont’d) Hocke, Volker Isaac, Isaac Lefcoe, Daniel Jacob-Goldman, Therese Northcott, Sandra Lamoure, Joel Robinson, David MacDonald, Michael Sanjeev, Doraiswamy Maxfield, Louise Mendonca, James Assistant Professors Merskey, Harold Barr, Jennifer Molnar, Laura Garcia, Carla Nicholson, Ian Haslam, David O’Flanagan, Denis

Geriatric Psychiatry Division Associate Professor & Chair Assistant Professors Adjunct Faculty Van Bussel, Lisa Burhan, Amer Fisman, Michael Heisel, Marnin Fogarty, Jenifer Professor Emeritus Laporte, Noel Le Clair, Ken Harris, David Oates, Jennifer Trenker, David Associate Professors Park, Hae-Ryun Doering, Michele

Neuropsychiatry Division

Professor & Chair Cross-Appointments Adjunct Faculty Williamson, Peter Bartha, Rob Gray, John Drost, Dick Hopper, James

2009-2010 Department of Psychiatry Annual Report 108

Associate Professors Everling, Stefan Lanius, Ruth Hampson, Elizabeth Osuch, Elizabeth Menon, Ravi Rajakumar, Raj Neufeld, Richard Rushlow, Walter Theberge, Jean

Assistant Professors Frewen, Paul MacDonald, Kathryn Mitchell, Derek

Social and Rural Psychiatry Division

Associate Professor & Chair Assistant Professors (cont’d) Cross Appointments Rudnick, Abraham Rybak, Yuri Charland, Louis Srivastava, Amresh Forchuk, Cheryl Professors Subramanian, Priya Ray, Susan O’Reilly, Richard Varapraven, Sreelatha Sharma, Verinder Associate Professors Adjunct Faculty Campbell, Robbie Blichowski, Teresa Chiu, Simon Breiter, Hans Cortese, Leonardo Bush, Haydn Gangdev, Prakash Cernovsky, Zack Guaiana, Guiseppe Chaya, Jihad Surti, Bhadresh Corring, Deborah Takhar, Jatinder Diaz, Kristine Assistant Professors Adjunct Faculty (cont’d) Akhta, Nadeem Eastwood, Diane Desjardins, Nina Fernando, Lakshman Dua, Varinder Ferrari, Jack Duggal, Vikas Hand, Karen Feltham, Ian Khan, Mustaq Goldman, David Le Marquand, David Jarmain, Sarah MacLeod, Valerie McCarthy, Gregory Malhotra, Ladi Singh, Abhay Thomas, Ann

SWOMEN – Windsor Program SWOMEN – Rural Regional Ahmad, Saadia Barrall, Myrlinda Burke, Brian Bucur, Mirela Bhangu, Raminder Burdette, Rachel Cassidy, Walter Chaya, Jihad Catton, Bette Cleto, Luis Chandrasena, Ranjith Conlon, Patrick Doey, Tamison Fairbairn, Robert Fairbairn, Robert Goldman, David Fernando, F.P. Hussey, Linda Glos, Janet Jarmain, Sarah Granneman, Len Jaychuk, Greg Handelman, Ken McAuley, Jeff

2009-2010 Department of Psychiatry Annual Report 109

Horlick, Sharon Mejia, Jose Leavey, JoAnn Prakash, Arun Lukis, Angela Reaume-Zimmer, Paula Malempati, Rao Roopchand, Roopa McGarragle, Glenda Santoro, Dino Mirza, Yousha Srivastava, S. Orchard, Janet Swaminath, Sam Out, Jennifer Peloso, Patricia Rajan, I.A. Sandre, Loris Saunders, Cory Steer, John Strang, Jouh Tak, Farzana Velehorschi, Corina Villella, Giovanni Warsi, Mustafa

Department of Psychiatry – Division Awards Academic Year 2009-2010

Awards Winner Adjudicator Star of the Year A. Rudnick Dept. Chair/Chief Senior Faculty Award R. Norman Final Selection Dept. Executives Junior Faculty Award A. Ninan Final Selection Dept. Executives Paul Patterson Resident Awards Aziz Haque Department Awards

Education Awards UGE-Clerkship Supervisor of the S. Northcott R. Harricharan Year Award – Local UGE-Clerkship Supervisor of the G. Guaiana/P. Norris R. Harricharan Year Award – Rural UGE-Clerkship Child & I. Bourque R. Harricharan Adolescent Supervisor of the Year UGE-Clerkship Seminar Leader of D. Robinson R. Harricharan the Year Award UGE-Excellence in Undergrad S. Northcott R. Harricharan Teaching (2008/2009) UGE-Clerkship Resident N. Aleem R. Harricharan Teaching Award PGE-Junior Resident of the Year Joel Shapiro M. Doering Award PGE-Senior Resident of the Year Rebecca King M. Doering Award

Best CME Presentation by a Aziz Haque V. Dua Junior Resident Best CME Presentation by a Kevin Baird V. Dua Senior Resident Best CME Presentation by Junior Joel Lamoure V. Dua Faculty Best CME Presentation by Senior Ian Nicholson V. Dua Faculty

2009-2010 Department of Psychiatry Annual Report 110

Division Awards – Child & Adolescent Division Award of Excellence in N. Rizvi M. Steele Postgraduate Teaching Star of the Year Award T. Doey M. Steele Clerkship Student of the Year Rachel Reardon M. Steele Division Awards – Geriatric Division Excellence in Postgraduate A. Burhan L. Van Bussel Education Dr. David Harris Award A. Haque L. Van Bussel Division Awards – General Adult Psychiatry Division Researcher of the Year R. Manchanda J. Reiss Clinician of the Year S. Northcott J. Reiss Undergraduate Educator of the P. Chandarana J. Reiss Year

Postgraduate Educator of the D. Robinson J. Reiss Year Division Awards – Social and Rural Psychiatry Division Social & Rural Faculty Cheryl Forchuk A. Rudnick Social & Rural Trainee Priya Subramanian A. Rudnick Social & Rural Administrative Anna Domingues A. Rudnick Staff

2009-2010 Department of Psychiatry Annual Report 111