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AACAP A Publication of the News n May/June 2014 n Volume 45, Issue 3 Photo by Shubu Ghosh, MD Inside... Picking the Right Type of Treatment................................................... 109 Opportunities to Integrate BehavioralHealth and Primary Care in School-Based Clinics: A New Beginning ..............................................115 The Maori World – Words Matter ......................................................120 TABLE of CONTENTS COLUMNS Jean Dunham, MD, Section Editor • [email protected] Clinical Vignettes: Picking the Right Type of Treatment • Martin J. Drell, MD, and Sylvia Worrell, MD .....................109 Psychotherapy: Unto the Third Generation: A New Development Textook for CAPs • Rachel Z. Ritvo .....................111 Diversity and Culture: Kurdish Immigrants and Mental Health • Sheinel J. Saleem, PhD, and Sala S. N. Webb, MD ...........113 COMMITTEES Ellen Heyneman, MD, Section Editor • [email protected] Schools Committee: Opportunities to Integrate Behavioral Health and Primary Care in School-Based Clinics: A New Beginning • Fareesh Kanga, MD, and Kimberly White, MD ...............................................115 Northern California Regional Organization of Child and Adolescent Psychiatry: What Our Patients Teach Us • Edmund C. Levin, MD .................................................................................117 NEWS Stuart Goldman, MD, Section Editor • [email protected] News Updates • Stuart Goldman, MD, and Garrett Sparks, MD, MS ..............................................118 OPINION Christopher Varley, MD, Section Editor • [email protected] The Maori World – Words Matter • Hinemoa Elder, MBChB, PhD ................................................120 FEATURES Debbie Carter, MD, Section Editor • [email protected] Poetry: Burst • Karie Evans ..............................................................................122 Media Page • Harmony Raylen Abejuela, MD ...............................................................123 61ST ANNUAL MEETING Eva Szigethy, MD, Section Editor • [email protected] San Diego Preview ....................................................................................124 New Research Poster Call for Papers ......................................................................127 Medical Students and Residents: Attend the AACAP Annual Meeting and Get Involved! ...............................128 FOR YOUR INFORMATION Membership Corner ...................................................................................129 Upcoming Events .....................................................................................129 Staff Directory .......................................................................................130 AACAP Welcomes Carmen J. Head as the New Director of Research, Training & Education! ............................133 Thank You for Supporting AACAP! ........................................................................132 Did You Know? ......................................................................................134 COVER: The smiles on their faces looks like “Christmas came early” and that’s what I call that picture. The poverty level in Taki is high and the kids were genuinely excited with any my gift. It was my pleasure to give back. Taki is a village on the border between West Bengal (India) and Bangladesh by the Ichamati River. – Shubu Ghosh, MD MISSION STATEMENT MISSION OF AACAP NEWS Mission of AACAP: Promote the The mission of AACAP News includes: 1 Communication among AACAP members, components, and leadership. healthy development of children, 2 Education regarding child and adolescent psychiatry. adolescents, and families through 3 Recording the history of AACAP. 4 Artistic and creative expression of AACAP members. research, training, prevention, 5 Provide information regarding upcoming AACAP events. comprehensive diagnosis and 6 Provide a recruitment tool. treatment and to meet the EDITOR................................................Uma Rao, MD MANAGING EDITOR . Rob Grant professional needs of child and PRODUCTION EDITOR ................................Patricia J. Jutz, MA adolescent psychiatrists throughout COLUMNS EDITOR ...................................Jean Dunham, MD COMPONENTS EDITOR ............................. Ellen Heyneman, MD their careers. NEWS EDITOR ................................... Garrett M. Sparks, MD OPINION EDITOR ................................Christopher Varley, MD Amended and Approved by Council, June 27, 2010 FEATURE EDITOR ...................................Alvin Rosenfeld, MD ANNUAL MEETING EDITOR..............................Eva Szigethy, MD PHOTOGRAPHY EDITOR.............................Alvin Rosenfeld, MD FUNCTION AND ROLES OF THE CONTRIBUTING EDITOR..............................Diane K. Shrier, MD AMERICAN ACADEMY OF CHILD RESIDENT EDITOR: MEDIA PAGE...............Harmony Raylen Abejuela, MD AND ADOLESCENT PSYCHIATRY OFFICERS COUNCIL MEMBERS The American Academy of Child and Paramjit T. Joshi, MD, President Mark S. Borer, MD Adolescent Psychiatry’s role is to lead its Gregory K. Fritz, MD, President-elect Debra E. Koss, MD membership through collective action, Deborah Deas, MD Martin J. Drell, MD, Past President peer support, continuing education, and Neal Ryan, MD mobilization of resources. The Academy Aradhana “Bela” Sood, MD, Secretary Steven J. Cozza, MD ■ Establishes and supports the highest David G. Fassler, MD, Treasurer Joan Luby, MD ethical and professional standards of Warren Y.K. Ng, MD, Chair, Kayla Pope, MD clinical practice. Assembly of Regional Organizations Kaye L. McGinty, MD Jenna Saul, MD ■ Advocates for the mental health and of Child and Adolescent Psychiatry Harsh Trivedi, MD public health needs of children, adolescents, and families. JERRY M. WIENER RESIDENT MEMBER Vandai X. Le, MD ■ Promotes research, scholarship, training, JOHN E. SCHOWALTER RESIDENT MEMBER Marika Wrzosek, MD and continued expansion of the scientific base of our profession. ROBERT L. STUBBLEFIELD RESIDENT FELLOW Anita Chu, MD EXECUTIVE DIRECTOR Heidi Büttner Fordi, CAE ■ Liases with other physicians and health care providers and collaborates with JOURNAL EDITOR Andrés Martin, MD, MPH others who share common goals. PROGRAM COMMITTEE CHAIR Gabrielle Carlson, MD COLUMN COORDINATORS Ayesha Mian, MD, [email protected] Child Psychiatry Around the Globe Timothy Dugan, MD, [email protected] Clinical Vignettes Sala S.N. Webb, MD, [email protected] Diversity and Culture Arden Dingle, MD, [email protected] Ethics Stephen Zerby, MD, [email protected] Forensics Rachel Ritvo, MD, [email protected] Psychotherapy Sandra DeJong, MD, [email protected] Youth Culture Charles Joy, MD, [email protected] Poetry Coordinator Stuart Goldman, MD, Goldman, [email protected] News AACAP News is an official membership publication of the American 3615 Wisconsin Avenue, N.W. Academy of Child and Adolescent Psychiatry, published six times annually. Washington, D.C. 20016-3007 This publication is protected by copyright and can be reproduced with the permission of the American Academy of Child and Adolescent Psychiatry. Publication PHONE 202.966.7300 • FAX 202.966.2891 of articles and advertising does not in any way constitute endorsement or approval by the American Academy of Child and Adolescent Psychiatry. © 2014 The American Academy of Child and Adolescent Psychiatry, all rights reserved COLUMNS CLINICAL VIGNETTES Picking the Right Type of Treatment see what was causing the sores before Charisse told us that it was due to her picking.” “What makes you come now? It’s been going on her whole life.” “It’s gotten worse in the last two years,” said the mom. ■ Martin J. Drell, MD, and Sylvia Worrell, MD As the mom paused, Charisse added introduced me to her husband and softly, “I pick when I’m under stress.” Note: This column is a continuation 10-year-old son who were sitting on the of the previous column on opposite side of the waiting area. I noted “Well then, what’s stressing you?” supervision titled: Every July 1st, the seating arrangement and asked who I asked. There’s New Supervisees published was coming into the session with me. in the March/April issue of “Nothing,” said Charisse. “I’m laid back AACAP News. “Just Charisse and me,” Mom answered. just like my dad. Nothing bothers him.” “What about them?” I replied point- “I’m confused,” I said. “You said you ontinuing the supervision, I told pick when you’re stressed, so I assumed the resident that I would like to ing at the men on the other side of the waiting room. if you are picking now, something is Ctell her about a case I saw the stressing you.” day before. It was a 13-year-old girl that was referred to me by her family “There’s things we don’t want Rusty [the son] to hear.” “I pick when I’m upset and do it without practitioner for “skin picking.” The family thinking,” Charisse responded. practitioner said that she had done “Well then, what about Dad?” I asked. what she felt comfortable doing. She “I can buy that, but to me, it still means had started the patient on a low dose of that something is bothering you, even an SSRI several weeks previously and “Rusty is hungry and Dad is going to take him out for something to eat.” though you may not know exactly what it referred her for CBT. The family practi- is. Did anything happen two years ago?” tioner suggested that the family consult with a child and adolescent psychiatrist. “Oh, ok.” I responded with some confusion.

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