APRIL /M AY 2018 Texas Psychiatrist T E R A I O N D O E F F

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T 2018 Legislative Update E Y X R A T Eric Woomer, Federation of Texas Psychiatry Public Policy Consultant S I A P S Y C H

exas recently Larson (HD 122) and Wayne Faircloth (HD Garcia , D-Houston, won the Democratic Theld its primaries for a wide range of 23). Davis and Larson won their primaries, nomination for a congressional seat with elective offices, and there are varied activities but Faircloth did not. There is likely to be sig - Reps. Ana Hernandez and Carol Alvarado affecting mental health programs ongoing at nificant tension between the Governor and already vying to replace her. the state level. Here is a summary of issues some factions of the House, if Davis and Furthermore, Sen. Carlos Uresti , D-San your legislative team is working on: Larson go on to win in the general election. Antonio, was convicted on federal Election Report: All of the major The six incumbents defeated in the pri - charges and is facing millions in fines and statewide elected officials on the ballot won mary were Faircloth (HD 23), Dawnna Dukes years in prison. Rep. Roland Gutierrez is lin - Eric Woomer their Republican Primary races without a (HD 46), Roberto Alonzo (HD 104), Jason ing up to pursue the seat, whenever Uresti run-off – U.S. Senator Ted Cruz, Governor Villalba (HD 114), Diana Arevalo (HD 116) steps down. Last session, $300 million was appropri - Greg Abbott, Lt. Governor Dan Patrick, and Tomas Uresti (HD 118). Fourteen seats None of this is enough to flip the majority ated for expansion and renovation of state Agriculture Commissioner Sid Miller, Land have a runoff, which is scheduled for May 22. in either chamber – the House would need 21 psychiatric hospitals. The state has already Commissioner George P. Bush, and Railroad November Outlook: Texas has been a Democrats to take over, and it would take five approved expansion of capacity at Kerrville Commissioner Christi Craddick. Attorney Republican state for decades, and while in the Senate. However, strong Democratic and San Antonio, and 200 new beds will be General Ken Paxton and Comptroller Glenn much has been made of Democratic gains in gains in November could affect the selection added to Rusk State Hospital (partly for max - Hegar ran unopposed. this cycle to date, it remains to be seen that of the next House Speaker (Joe Straus is not imum security). There is also money for pre- On the Democratic side, Beto O’Rourke of this will translate into victories in November. seeking another term) and an erosion of GOP planning at Austin State Hospital and San El Paso won the Democratic Primary for U.S. The top of the ticket looked pretty strong – votes in the Senate (or a new presiding offi - Antonio State Hospital, looking not just at Senate and will challenge Cruz in the Sen. Cruz won 85% of the vote (although cer, should Patrick be defeated) would cer - rebuilding buildings, but at how the facilities November General Election. In the O’Rourke continues his strong fundraising), tainly alter the Senate’s legislative priorities will work within the system. HHSC is also Governor’s race, there will be a run-off and Gov. Abbott topped 90% in his primary and/or the votes to enact them. looking at hospitals that have closed down, between former Dallas County Sheriff Lupe against two underfunded opponents. Mental Health Activities: Meanwhile, including Texas Youth Commission facilities, Valdez and Andrew White, son of former Down ballot, however, the picture is mental health-related goings-on continued but in some cases, like Waco, the cost for Governor Mark White. Michael Collier, a CPA murkier. Roughly 25% of GOP voters picked at full steam. The Statewide Behavioral conversion has been prohibitive. from Humble will challenge Lt. Governor unknown Scott Milder in the Lt. Governor Health Coordinating Council is busy prepar - There has been a large increase in opioid Dan Patrick. Joi L. Chevalier, a product man - race against incumbent Dan Patrick, who ing a coordinated funding proposal, covering related deaths in Texas as well as nationally. ager for Dell Computer is the Democratic garnered 225,000 fewer votes than Abbott. the $9 billion in behavioral health funding The state received $27.4 million in federal nominee for Comptroller and will challenge Moreover, tally up the GOP voters who pulled across all agencies. There is also a behavioral funding to help address the crisis. Part of the Hegar in November. Austin attorney Miguel the lever for Milder and the Democratic votes health services inventory analysis underway, effort includes reviewing data to determine Suazo is the Democratic nominee for the for nominee Mike Collier and also-ran and a requirement to submit a progress the percentage of mental health patients General Land Office and will challenge Bush. Michael Cooper, and you’ve got 1.3 million report for the Statewide Behavioral Health using opioids. One of the initiatives is com - In the Texas Senate, fifteen of thirty-one Texans who voted for someone other than Strategic Plan, which was released in bined suicide prevention/opioid prevention. seats were up for election this cycle. Seven Patrick, who received only 1.1 million votes December of 2017. Finding enough providers remains a chal - incumbent senators faced challengers in the in total. Last session, Rep. Four Price’s H.B. 13 lenge. primaries, and all but one prevailed. In the Legislature, incumbent Senators established the Community Mental Health Previously, Texas has relied on narcotic Highlights include Sen. Bob Hall retaining his Konnie Burton and Don Huffines have swing Grant Program and provided $30 million in treatment clinics, which have additional reg - Senate District 2 seat against formidable districts – Hillary Clinton polled a statistical state funds over the 2018-19 biennium, to be ulations and restrictions. Presumably, with challenger Rep. Cindy Burkett. Angela tie with Donald Trump in Burton’s Tarrant matched by grantees with local and private office-based opioid treatment, there will be Paxton, wife of Ken Paxton, won the big- County district in 2016, and she defeated funds. Under the first phase, up to $15 mil - less difficulty with regulation and easier name showdown for SD 8 against Phillip Trump in the boundaries of Huffines’ Dallas lion in grant funds will go to 23 local mental means for establishing treatment facilities. Huffines, brother of incumbent Sen. Don seat. In this year’s primary, Burton received health authorities and two local behavioral Presently, of the admissions to services, only Huffines, and Sen. Kel Seliger defended SD 2,000 fewer votes than her Democratic chal - health authorities located across the state. 14% of patients received evidence-based 31 against two primary challengers, defeating lenger, and Huffines was bested by his The resources will fund community pro - treatment. Modifying interventions and former Midland Mayor Mike Canon and local Democratic opponent by more than 6,000 grams to expand treatment, promote recov - increasing the use of medications for treat - restauranteur Victor Leal. In SD 30, incum - votes. Meanwhile, six GOP-held House seats ery, and improve quality of life for individuals ment can cut mortality by half. bent Sen. Craig Estes lost his seat to chal - saw the Democrat get more votes than the with mental illness. Examples of expanded The 85th Legislature also passed S.B. 292, lenger Rep. Pat Fallon. Republican in their respective primaries, and treatment and services include adding which created a grant program for local col - All 150 Texas House seats are up for re- several others were separated by a few hun - licensed chemical dependency counselors laborations with the goals of reducing recidi - election. Forty-two incumbents had primary dred votes. and peers to mobile crisis outreach teams vism, incarceration, and the frequency of election challengers and all but six won their Other seats will see special elections that and establishing drop-in centers for individ - arrests among persons with mental illness. races. Gov. Greg Abbott invested significant won’t change the partisan balance but will uals experiencing crisis as an alternative to time and money campaigning against change the faces in the room. Sen. Sylvia the emergency room or hospitalization. See 2018 Legislative Update , page 2 Representatives Sarah Davis (HD 134), Lyle TSPP/TAP Spring Meeting I NSIDE and CME Program

Calendar ...... 8 “The Interface Between Committe Preferences ...... 5 Psychiatry and Other Congratulations ...... 2 Medical Specialties” Reflections and Thank You ...... 2 TSCAP Annual Convention Hotel Reservations: & Scientific Program ...... 6-7 Westin Austin at the Domain Hotel TSPP/TAP Spring Meeting/ CME Program ...... 3-4 https://www.starwoodmeeting.com/Book/ TSPP/TAP Spring Meeting/CME TSPPTAPSpringmeeting2018 Registration Form ...... 2 Reflections and Thank You Terry McMahon, MD, President, Texas Society of Psychiatric Physicians

s winter wanes along with my term our profession and those we serve. Differential Diagnosis of Neurocognitive Aas the Texas Society of Psychiatric Disorders; Integrated Care Model; Physicians President, at times I pause and APRIL 14 MEETING HIGHLIGHTS: Psychiatry and Cardiology; Traumatic Brain reflect up on the year in review. In doing Job Fair and Exhibits All Day Saturday – Job Injury and Pituatary Dysfunction; EMR and so, I certainly agree with others that we live opportunities available throughout the Pay for Performance; The Opioid Epidemic in” interesting times”, which seem to be State of Texas and Exhibits on Medical – Treatment and Prevention. getting progressively more interesting by Malpractice / Professional Liability Installation of Officers for 2018-19 – the day . That being said, I am reminded Insurance, Electronic Health Records and Joseph Penn, MD (President); Melissa of how good it is to know that issues related Practice Management Software for Eshelman, MD (President-Elect); Timothy Terry McMahon, MD to psychiatry and mental illness are now Psychiatry; New Product INformation; Wolff, MD (Secretary-Treasurer) – Sunday quite the topic of discussion in many of Products Covered by Insurance and Texas our communities and I can only hope Medicaid and first FDA approved treatment that the ongoing conversation continues for Adults with TD; and a special Kendry to lead to further improvement in our Scott Jewelry Trunk Show to benefit the CONGRATULATIONS systems of care in the future. I am also Texas Foundation for Psychiatric Education TO TSPP MEMBER reminded of how good it feels to have and Research. friends and colleagues in the Texas Society State Committee Meetings – Saturday Debra Atkisson, MD, DFAPA of Psychiatric Physicians who share this Morning / Afternoon – Complimentary and Recipient 2018 APA Assembly vision and continue to work toward better Open to All Members means of practice for ourselves and our Lunch Program – State and Federal Resident-Fellow Member patients. Legislative Update on Psychiatry and What Mentor Award It has truly been my pleasure to serve in Lies Ahead in the Next Legislative Session - for Outstanding Work this capacity and I would like to take this Guest Speaker, Saul Levin, MD, APA CEO opportunity to encourage our membership and Medical Director – Saturday as a Mentor and to register for and attend our upcoming CME Program and Dinner – Saturday, Advocate for RFMs meeting in April in Austin as our 2:30-9:00 pm – The Interface Between membership carries on its commitment to Psychiatry and Other Medical Specialties –

Texas Society of Psychiatric Physicians and Texas Academy of Psychiatry 2018 Spring Meeting & CME Program – April 14-15, 2017, Austin, Texas

(The following options require credit card payment) Legislative MAIL... (pay by credit card or check) To remit payment online, complete this form and Texas Society of Psychiatric Physicians E-MAIL... [email protected] FAX... 512.478.5223 return to [email protected] via email. An email invoice Update 401 West 15th Street, Suite 675, Austin, TX 78701 ONLINE... http://www.txpsych.org PHONE.. 512.478.0605 will be sent to you via Quickbooks for payment. continued from page 1 REGISTRATION Up to $12.5 million was authorized for the NAME E-MAIL ADDRESS FOR MEETING CONFIRMATION first year and $25 million for FY2019. The first Please check if you are a: APA Fellow APA Distinguished Fellow APA Distinguished Life Fellow APA Life Member APA Life Fellow year targets urban areas and the second year expands to rural areas. ADDRESS / CITY / STATE / ZIP: These local collaborations must include the county, the local mental health authority PHONE/FAX serving that county, and the hospital district REGISTRATION FEE located in the county (if present). Grants are BEFORE MARCH 22 AFTER MARCH 22 awarded to the twenty most populous coun - FRIDAY, MEDICAL STUDENT/RESIDENT MIXER No Charge No Charge ties according to formula funding based on SATURDAY LUNCH $20.00 $25.00 ______cases of serious mental illness in the county. Guest Speaker Saul Levin, MD, MPA, FRCPCE, CEO and Medical Director, APA State funds would be distributed on the con - CME PROGRAM, AND DINNER dition that each local collaborative provides TSPP / ACADEMY / TSCAP Member $125.00 $155.00 ______matching funds in a total amount at least MS OR RESIDENTCFELLOW IN TRAINING / TSPP / ACADEMY / TSCAP MEMBER $15.00** $25.00** ______equal to the awarded grant amount. NONCMEMBER PHYSICIAN $155.00 $185.00 ______NONCMEMBER RESIDENTCFELLOW PHYSICIAN, MS $25.00 $35.00 ______Hearings: The House and Senate are ALLIED HEALTH PROFESSIONAL $100.00 $125.00 ______holding a series of meetings on mental Name(s) for name badge: ______health issues throughout the spring. Five dif - SPOUSE / GUEST (no CME credit) $65.00 $85.00 ______ferent committees are holding eight separate Name(s) for name badge: ______hearings that touch on a range of behavioral ** NO CHARGE, if your Program Training Director registers for the CME Program. health concerns. Among them: the Senate Enter Program Director’s name here: ______Finance Committee will meet to monitor the MEETING SYLLABUS ORDER state’s progress in coordinating behavioral Meeting Syllabus in Color $125.00 $155.00 ______health services and expenditures across state Meeting Syllabus in Black & White $95.00 $125.00 ______government; House Appropriations will Online Meeting Syllabus No Charge No Charge examine HHSC’s efforts to expand Texas’s Vegetarian Plate Requested. ______inpatient psychiatric infrastructure; the No additional fee if requested prior to March 22 otherwise there will be an additional fee of $15.00 House Criminal Justice Committee will If you require any special assistance to fully participate in Total Registration Fees assess developments in medical science and this conference, please contact TSPP at (512) 478-0605. legal standards related to the imposition of the death penalty on defendants with serious METHOD OF PAYMENT: Check in the Amount of $______Make Checks Payable to Texas Society of Psychiatric Physicians mental illness; and the House Select Please Charge $______To My: VISA MasterCard American Express Committee on Opioids and Substance Abuse Credit Card #______Expiration Date: ______will study the prevalence and impact of sub - stance use and substance use disorders in 3 or 4 Digit Code on Back of Card on Right of Signature Panel ______Texas, including co-occurring mental illness. Name of Cardholder (as it appears on card) ______Your advocacy team is hard at work on Signature ______these issues and many others that impact the ADDRESS WHERE YOU RECEIVEYOUR CREDIT CARD STATEMENT (include address, city, state, zip):______practice of psychiatry. Please feel free to ______reach out with any comments or questions. As always, thank you for allowing us to repre - CANCELLATION POLICY: In the event of cancellation, a full refund will be made if written notice is received in the TSPP office by March 22, 2018, less a 25% processing charge. NO REFUNDS will be given after March 22, 2018 sent your interests at the state Capitol.

2 TEXAS PSYCHIATRIST APRIL /M AY 2018 Texas Society of Psychiatric Physicians & Texas Academy of Psychiatry Spring Committee Meetings and Continuing Medical Education Program: “The Interface Between Psychiatry and Other Medical Specialties”

April 14, 2018 • Westin Austin at the Domain Hotel, Austin, Texas

egister early and plan to attend KENDRA SCOTT JEWELRY TRUNK Fellows in Training GOLD SPONSORS the 2018 committee meetings SHOW TO BENEFIT THE TEXAS • Networking with Colleagues from Around R Allergan and Joint Provider Spring CME FOUNDATION FOR PSYCHIATRIC the State of Texas Program of the Texas Society of EDUCATION & RESEARCH , Saturday, • Exhibits that offer Business Practice Tools, Jaymac Pharmaceuticals, LLC Psychiatric Physicians and the Texas 10:30 am – 12:40 pm, Primrose Foyer, at Malpractice Insurance and Employment Validus Pharmaceuticals, LLC Academy of Psychiatry on April 14, the Foundation Exhibit Booth. As part of Opportunities Kendra Scott’s Give Back Program, 20% of • TSPP Government Affairs Committee & 2018 at the Westin Austin at the all sales will be donated to the Texas Luncheon Program EXHIBITORS: Domain Hotel, 11301 Domain Drive, Foundation for Psychiatric Education • Complimentary Refreshments & Reception Allergan Austin, TX. Other organization and Research, so shop early and shop • TSPP Executive Council Meeting and American Professional Agency, Inc. meetings will be held April 13 and often – graduations and Mother’s Day are Installation of Officers for 2018-19 Jaymac Pharmaceuticals, LLC the TSPP Executive Council Meeting, just around the corner! MagVenture, Inc. April 15. EXHIBITS MEETING HIGHLIGHTS Complimentary refreshments and snacks Practice EHR • Special Guest Speaker, Saturday Lunch, will be provided in Primrose Foyer of the Professional Risk Management Saul Levin, MD, MPA, FRCP-E, CEO and Westin Austin at the Domain Hotel for Services Medical Director, American Psychiatric registered attendees. Exhibits will be open Texas Foundation for Psychiatric Association throughout the day Saturday to provide Education and Research / • TSPP & TAP Joint Provider Spring CME you with information designed to enhance Kendra Scott Trunk Show Program (6 Hours of Category I CME your practice and improve the optimal The Doctors Company Credit) with 1 of the Hours Designated for delivery of medical care to your patients. In The Menninger Clinic Medical Ethics addition there will be ‘job fair’ exhibitors UTMB Correctional Managed Care • TSPP Committee Meetings – Open to who have employment opportunities for Validus Pharmaceuticals LLC all Members, including Residents and Psychiatrists in the State of Texas. MEETING LOCATION / INFORMATION PROGRAM SCHEDULE Located in the heart of The Domain, FRIDAY, APRIL 13 within one of Austin’s premier 4:00 pm - 10:00 pm Temporary Registration Desk ...... Bluebonnet Foyer destinations, the AAA 6:00 pm - 7:15 pm Chapter Leadership Forum ...... Bluebonnet 4-Diamond Award Winning Westin 6:00 pm - 7:30 pm TSCAP Executive Committee Meeting ...... Wine Room Austin at the Domain Hotel is centrally located among 1.3 million 7:30 pm - 9:00 pm Federation Delegate Assembly Meeting ...... Bluebonnet square feet of high-end shopping and 8:00 pm - 9:00 pm Resident-Fellow and Medical Student Social Mixer ...... Wine Room local music, fine dining, an upscale SATURDAY, APRIL 14 movie theater featuring independent 7:00 am - 9:00 pm Registration ...... Primrose Foyer and major films, and jogging paths 7:30 am - 8:45 am Foundation Board of Directors Breakfast Meeting ...... Verbena B offering a taste of the calming 9:00 am - 9:50 am Continental Breakfast ...... Primrose Foyer greenery found nearby. 9:00 am - 10:30 am Council on Leadership Meetings: Ethics ...... Camellia A HOTEL RESERVATIONS Distinguished Fellowship ...... Camellia B Plumeria A TSPP has negotiated a small block of Finance ...... rooms with a discounted room rate of Council on Education Meetings: Continuing Medical Education ...... Verbena A $179 for reservations placed BEFORE Professional Practice Management ...... Plumeria B MARCH 22. To take advantage of this 7:00 am - 9:00 am Exhibits Set-Up ...... Primrose Foyer rate, visit the Federation of Texas 9:00 am - 5:00 pm Exhibits ...... Primrose Foyer Psychiatry’s website at www.txpsych.org 10:30 am - 10:50 am Refreshment Break / Visit with Exhibitors and Door Prize Drawings ...... Primrose Foyer and click on the URL link included in 10:30 am - 12:40 pm Kendra Scott Jewelry Trunk Show to Benefit the ...... Primrose Foyer the announcement/information for the Texas Foundation for Psychiatric Education and Research TSPP/TAP meeting: 20% of all sales will be donated to the Texas Foundation for Psychiatric Education and Research 10:50 am - 12:20 pm Council on Service Meetings: https://www.starwoodmeeting.com/Book/ Academic Psychiatry ...... Camellia A TSPPTAPSpringmeeting2018 Child and Adolescent Psychiatry ...... Camellia B Forensic Psychiatry ...... Plumeria A * Booking a room within the TSPP room block is Plumeria B an important way to support TSPP and TAP and Public Mental Health Services ...... helps to keep the overall meeting registration fee 12:20 pm - 12:40 pm Refreshment Break / Visit with Exhibitors and Door Prize Drawings ...... Primrose Foyer and costs as low as possible. Booking outside of 12:40 pm - 1:40 pm Lunch Program (and Council on Advocacy Meeting) ...... Lantana the TSPP block, or at another hotel could expose Special Guest Speaker: Saul Levin, MD, MPA, TSPP to monetary charges for attrition. Plus, staying in the hotel keeps you connected with all CEO and Medical Director, American Psychiatric Association (APA) the activities and networking opportunities dur - Update on APA’s Activities, New Location and Federal Update ing the event. Please help us help you by booking 1:40 pm - 2:30 pm Texas Academy of Psychiatry Board of Directors Meeting ...... Bluebonnet your room at the hotel hosting the meeting and 1:40 pm - 2:30 pm Resident Fellow Member in Training Section ...... Verbena within the TSPP room block. 1:50 pm - 2:20 pm Break / Visit with Exhibitors ...... Primrose Foyer 2:30 pm - 9:00 pm CME Scientific Program: “The Interface Between Psychiatry and Other Medical Specialties” ...... Primrose C FRIDAY – NETWORKING / SOCIAL 2:30 pm - 3:30 pm Differential Diagnosis of Neurocognitive Disorders – Kevin Gray, MD MIXER FOR TSPP/TSCAP/TAP 3:30 pm - 4:30 pm Integrated Care Model – Derek W. Neal, MD MEDICAL STUDENTS AND 4:30 pm - 4:50 pm Refreshment Break / Visit with Exhibitors and Door Prize Drawings ...... Primrose Foyer RESIDENT-FELLOW MEMBERS IN TRAINING: The TSPP Resident- 4:50 pm - 5:50 pm Psychiatry and Cardiology – Dustin DeMoss, DO, MS, FAPA Fellow Members Section has 5:50 pm - 6:50 pm Traumatic Brain Injury and Pituitary Dysfunction: A Chronic Disease arranged a special networking event Presenting with Fatigue and Cognitive Dysfunction – Randall J. Urban, MD for all TSPP, TSCAP and TAP medical 6:50 pm - 7:00 pm Refreshment Break ...... Primrose Foyer students, residents and fellows in 7:00 pm - 8:00 pm Dinner and Continuation of CME Program training on Friday, 8:00-9:00 pm in 7:00 pm - 8:00 pm EMR and Pay for Performance – Clifford Moy, MD the Wine Room, located lobby level 8:00 pm - 9:00 pm The Opioid Epidemic, The Story of Opioids, Prometheus Unbound – Anand Mehendale, MD past the bar area. We hope you will make plans to register for this fun, SUNDAY, APRIL 15 informal get together! 9:00 am - 11:00 am Executive Council Meeting ...... Lantana Continental Breakfast and Installation of Officers for 2018-19

APRIL /M AY 2018 TEXAS PSYCHIATRIST 3 Texas Society of Psychiatric Physicians and Texas Academy of Psychiatry Joint Provider Scientific Program Saturday, April 14, 2018 (6 Hours Category 1 Credit) “The Interface Between Psychiatry and Other Medical Specialties” SCIENTIFIC PROGRAM

CME PROGRAM GOAL/TARGET AUDIENCE: This live 2:30 pm - 3:30 pm Differential Diagnosis of Neurocognitive Disorders – Kevin Gray, MD activity has been designed in a lecture format with case Objectives: The learning objectives for this activity have been designed to address clinician competence. Upon conclusion of the activity, examples and panel format followed by an interactive participants should be able to: audience question and answer period to provide its’ • Discuss the overlapping symptoms and presentations of neurocognitive and other psychiatric disorders. primary target audience of Psychiatrists, as well as other • Discuss treatment options for these conditions. specialties of medicine, with the most up-to-date, evidence-based data that can be translated into clinical 3:30 pm - 4:30 pm Integrated Care Model – Derek W. Neal, MD practice. Objectives: The learning objectives for this activity have been designed to address clinician competence. Upon conclusion of the activity, The information and data presented will address the participants should be able to: professional practice gaps of the learners and advance the • Define and describe the integrated care model. physician’s competence and improve their knowledge • List some of the advantages of the integrated care model. about the interface between psychiatry and other medical • Describe some of the barriers to implementing the integrated care model. specialties along with ethical concerns regarding pay for performance so that they may develop strategies to apply 4:30 pm - 4:50 pm Refreshment Break / Visit with Exhibitors and Door Prize Drawings ...... Primrose Foyer the knowledge, skills and judgement of the information presented in the educational activity into their practice. 4:50 pm - 5:50 pm Psychiatry and Cardiology – Dustin DeMoss, DO, MS, FAPA Objectives: The learning objectives for this activity have been designed to address clinician competence. Upon conclusion of the activity, IDENTIFIED PRACTICE GAPS / NEEDS ASSESSMENT: TSPP identified professional practice gaps in medical participants should be able to: literature and incorporated this into the CME activity to • Describe the overlapping symptoms of patients with cardiac and/or psychiatric disorders. address the relevant educational needs concerning • Discuss risk factors for cardiac disease among psychiatric patients. competence that underlie the professional practice gaps of • Identify potential cardiac side effects of psychotropic medications. the participants. 5:50 pm - 6:50 pm Traumatic Brain Injury and Pituitary Dysfunction: A Chronic Disease Presenting with Fatigue and The program will explore the interface between psychiatry and other medical specialties. The differential diagnosis of Cognitive Dysfunction – Randall J. Urban, MD psychiatric conditions in the geriatric patient can be Objectives: The learning objectives for this activity have been designed to address clinician competence. Upon conclusion of the activity, challenging and overlap with other medical and mental participants should be able to: health conditions (J Clin Psychiatry. 2016 Oct;77(10):1391- • Describe the link between traumatic brain injury and pituitary dysfunction. 1395. doi: 10.4088/JCP.15m09844). The presentation will • List the overlap between symptoms of pituitary dysfunction and psychiatric conditions. address the overlap, differential diagnosis and treatment of neurocognitive and other disorders. Integrated care 6:50 pm - 7:00 pm Refreshment Break ...... Primrose Foyer models are proving to be beneficial in bringing psychiatric services to primary care clinics, but questions remain 7:00 pm - 8:00 pm Dinner and Continuation of CME Program: EMR and Pay for Performance – Clifford Moy, MD, FAPA about the best models for providing care (.BMC Health Objectives: The learning objectives for this activity have been designed to address clinician competence. Upon conclusion of the activity, Serv Res. 2017 Dec 13;17(1):821. doi: 10.1186/s12913-017- participants should be able to: 2774-2). The presentation will address the models of care • Describe initiatives for increasing the use of electronic medical records and pay for performance. and their advantages and disadvantages. Psychiatric • Discuss some of the ethical concerns providers have about these initiatives. conditions and treatments have cardiac implications (Int J Cardiol. 2016 Sep 15;219:367-72. doi: 8:00 pm - 9:00 pm The Opioid Epidemic, The Story of Opioids, Prometheus Unbound – Anand Mehendale, MD 10.1016/j.ijcard.2016.06.057; J Affect Disord. 2016 Objectives: The learning objectives for this activity have been designed to address clinician competence. Upon conclusion of the activity, Apr;194:38-49. doi: 10.1016/j.jad.2016.01.003). The presentation will address the differential diagnosis of participants should be able to: cardiac symptoms and cardiac risk for psychiatric patients. • Describe the current epidemiology of the opioid epidemic in the United States. Traumatic brain injury (TBI) may result in dysregulation of • Discuss treatment and prevention of opioid use disorder. the hypothalamic-pituitary axis (Pituitary. 2008;11(3):255- • Identify current barriers to care. 61. doi: 10.1007/s11102-008-0102-x). The presentation will discuss TBI and pituitary dysfunction with resulting psychiatric symptoms. The current opioid epidemic is a pressing public health concern requiring integrated ABOUT THE SPEAKERS treatment efforts among psychiatrists and other professionals (Ann Intern Med. 2017 May 16;166(10):733- DUSTIN DE MOSS, DO, MS, FAPA 736. doi: 10.7326/M16-2953). The presentation will Associate Program Director address the history of the opioid epidemic and treatment options. Increased accountability in monitoring treatment JPS Psychiatry Residency outcomes has led to pay for performance initiatives, but Assistant Professor clinicians have many unanswered questions (Ann Intern Department of Psychiatry Med. 2017 Mar 7;166(5):341-353. doi: 10.7326/M16-1881). University of North Texas Health Science Center The presentation will describe the rationale for pay for performance and some of the clinician concerns. John Peter Smith Health Network Fort Worth, TX OBJECTIVES: The learning objectives for this activity have been designed to address clinician competence and are listed under each presentation. KEVIN GRAY, MD ACCREDITATION STATEMENT: This activity has been Director planned and implemented in accordance with the Geriatric Neuropsychiatry Clinic accreditation requirements and policies of the Texas Veteran Affairs North Texas Health Care System Medical Association (TMA) through the joint providership of the Texas Society of Psychiatric Physicians and the Texas Associate Professor Academy of Psychiatry. The Texas Society of Psychiatric Departments of Psychiatry and Neurology Physicians is accredited by TMA to provide continuing The University of Texas Southwestern Medical Center medical education for physicians. Dallas, TX CREDIT STATEMENT: The Texas Society of Psychiatric Physicians designates this Live Activity for a maximum of ANAND MEHENDALE, MD six (6) AMA PRA Category I Credits TM . Physicians should Neurologist claim only the credit commensurate with the extent of their participation in the activity. Phoenix Medical Associates ETHICS DESIGNATION STATEMENT: The presentation Governing Board Member “EMR and Pay for Performance" been designated by the Texas Physician Health Program Texas Society of Psychiatric Physicians for one (1) credit of education in medical ethics and/or professional CLIFFORD MOY, MD, FAPA responsibility. Behavioral Health Medical Director FACULTY AND PLANNERS DISCLOSURE POLICY: In TMF Health Quality Institute compliance with the ACCME/TMA Standards for Frisco, TX Commercial Support of CME, to assure balance, indepen - dence, objectivity and scientific rigor in all of its CME activities, prior to the education activity being delivered to DEREK W. NEAL, MD the learners, the Texas Society of Psychiatric Physicians Assistant Professor implemented a mechanism to identify and resolve University of Texas Medical Branch personal conflicts of interest from everyone who was in a position to control the content of the education activity. Department of Psychiatry and Behavioral Sciences TSPP will disclose to learners the existence (or non- Galveston, TX existence) of all relevant financial relationship(s) that the faculty and planners did (or did not) have with any RANDALL J. URBAN, MD commercial interest concerned with the content of the Edward Randall and Edward Randall Jr. Distinguished Chair in Internal Medicine educational presentation. Professor and Chair of the Department of Internal Medicine Disclosure will occur prior to the presentation through University of Texas Medical Branch written communication in the syllabus / handout materials. Galveston, TX

4 TEXAS PSYCHIATRIST APRIL /M AY 2018 Committee Preferences 2018-2019

HANK YOU for your continued mem - To make your selection and submit your Tbership and strengthening the voice of committee preferences, complete Name/ Committee Preferences 2018-19 Psychiatry in Texas! TSPP’s mission is to Address/Email and place an “X” in the develop the highest quality of comprehen - appropriate committee column and fax sive psychiatric care for patients, families, your completed form to TSPP (512/478- NAME and communities and your individual 5223), or mail it to TSPP, 401 West 15th St., membership helps collectively accomplish Ste 675, Austin, Texas 78701. Your selections ADDRESS CITY STATE ZIP that goal by enabling TSPP to continue to must be received by TSPP by July 31. Your provide quality CME programs and a strong preferences will be considered by TSPP EMAIL legislative voice for Psychiatry. President Joseph Penn, MD when he begins Your personal involvement in TSPP’s making appointments. Appointments are COUNCILS & COMMITTEES 2018-19 Current Request Wish to Request New activities also helps to shape the future of generally for 3 years. Confirmation of com - Member Reappointment Resign Appointment Psychiatry. With this in mind, TSPP invites mittee appointments will be mailed in COUNCIL ON ADVOCACY you to serve on committees this year by August. Information about each of the selecting from the list below the commit - committee’s charges is listed below the Government Affairs tees you have an interest in (Please try to committee preference form. limit your selection to 1 Committee per Committees will meet twice in FY 2018-19 COUNCIL ON EDUCATION Council listing to avoid potential meeting in November 2018 and April 2019. If you have Continuing Medical Education conflicts). Participation in committees also any questions please do not hesitate to con - provides an opportunity to informally net - tact our office via email [email protected] or Resident-Fellow Member Section work with your colleagues from around the telephone 512-478-0605. Professional Practice Management State and share issues and concerns about your practice, patient care, legislative mat - Debbie Giarratano COUNCIL ON SERVICE ters and medical education. Executive Director Academic Psychiatry COMMITTEE CHARGES 2018-19 Children & Adolescents Forensic Psychiatry COUNCIL ON ADVOCACY tion of clinical services, and the funding for GOVERNMENT AFFAIRS: To monitor public mental health services administered Public Mental Health Services present and proposed legislation and and/or provided by State and local public regulation at all government levels that agencies; and, to assess the authority, roles, COUNCIL ON FELLOWSHIP could affect services to psychiatric and functions of psychiatrists in public Chapter Leadership Forum (1) patients; to attempt to ensure such legis- mental health services. FORENSIC PSYCHIATRY: To review the lation is in conformity with the principles COUNCIL ON LEADERSHIP of scientific care; to propose needed legal aspects of civil, criminal, correctional legislation or regulation, in liaison with and legislative issues that affect patients Constitution & Bylaws (2) other interested groups when appropriate, and the practice of psychiatry. Ethics (2) that would benefit psychiatric patients and the psychiatric profession in its efforts COUNCIL ON FELLOWSHIP Distinguished Fellowship (2) to treat patients effectively; and, to monitor CHAPTER LEADERSHIP FORUM: To pro - Finance court developments affecting patients and vide a forum for Chapter leaders to meet Nominating (3) members. and discuss issues of mutual interest regarding Chapter operations. COUNCIL ON EDUCATION (1) Chapter Officers and Representatives (2) Appointed by Chapter (3) Past Presidents CONTINUING MEDICAL EDUCATION: To develop COUNCIL ON LEADERSHIP the Scientific Program for the Texas Society CONSTITUTION & BYLAWS: To prepare, as of Psychiatric Physicians' Annual Meeting necessary, changes in the Constitution and in accordance with the Essentials as out - Bylaws as mandated, either by vote within lined in the Texas Medical Association's the Society or changes in APA structure CME Guidelines, after receiving approval which affect the District Branch structure both from the Executive Council and the as well; to review the Constitution and Finance Committee for particular plans; Bylaws and submit recommendations for and, to assist the President-Elect in the possible improvement of the current docu - development of the Scientific Program for ment. the Texas Medical Association Section on ETHICS: To undertake the confidential Psychiatry. investigation of complaints of unethical PROFESSIONAL PRACTICE MANAGE - behavior or practices against Texas Society MENT: To review clinical practice issues of Psychiatric Physicians' members in affecting members in any practice setting accordance with APA procedures approved (eg regulations, reimbursement, technol - by the Assembly and the Board of Trustees. ogy, office procedure, etc) and propose DISTINGUISHED FELLOWSHIP: To educational programs and policies to coordinate all nominations for advance - improve the delivery of care to patients and ment of Distinguished Fellowship in the to enhance the practice of psychiatry. As American Psychiatric Association and Conference Ov ervie w needed, review and update existing prac - make recommendations to the Executive The Integrativ e M edicine f or M ental Health Featured Speak ers tice guidelines and develop new guidelines Council regarding Fellowship recommen - Conf erence (IMMH) will giv e practitioners a holistic approach to succes sfully diagnose and James Greenblatt, MD for the practice of psychiatry. dations. treat underlying is sues contributing to the  Integrativ e and RESIDENT-FELLOW MEMBER SEC - FINANCE: To prepare an annual operat - manif estations of neurological, beha vioral, and Orthomolecular TION: To review the needs and concerns of ing budget, taking into account previous ps ychiatric disorders. Research has rev ealed Therapies f or Eating members-in-training as seen by the resi - years' income and expenses, and requests that man y disorders such as depres sion, bipolar Disorders dents to facilitate more resident involve - from individual committees and other disorder , anxiety , OCD , eating disorders, and autism ment with appropriate TSPP Committees; components; to review requests from spectrum disorders often ha ve biomedical causes Dale Bredesen, MD that contribute to s ymptoms, from nutritional members regarding dues adjustments and  The End of Alzheimer ’s: and, to provide a forum for members-in- deficiencies to chronic inf ections. P atients Unco vered Causes training for collegial sharing of mutual recommend appropriate actions to the ha ve better outcomes when these causes are and E ectiv e concerns and ideas. Executive Council; to oversee and advise addres sed and treated through a combination of Treatment Strategies on investment strategies for reserve funds; specialized testing and nutritional therapies, ev en COUNCIL ON SERVICE to present financial statements; to make in combination with traditional approaches. This Arw en P odesta, MD year ’s conf erence will ha ve more new speakers and  Hooked: Integrativ e ACADEMIC PSYCHIATRY: To provide a recommendations to the Executive Council new topic s than ev er bef ore! CME a vailable! and the membership as to the financial Treatment Strategies forum for psychiatrists employed by aca - for A ddiction demic centers to network and to share needs of the Society; and to develop strate - information of mutual interest and con - gies to recruit and retain members. www.IMMH20 18.com cern about their academic settings. NOMINATING: To recommend a slate of CHILDREN & ADOLESCENTS: To moni - officers to the membership at the annual tor developments in the field of child and meeting as per Chapter VI, Section VI of the adolescent psychiatry, in both the private TSPP Bylaws; to screen nominations for the Register b y J uly 1 and Use pr omo code and public sectors, and to inform the Distinguished Service Award, the Special membership of issues and policies affect - Service Award, and the Psychiatric TXPS YCH50 to sa ve ing the care and treatment of children and Excellence Award and other awards adolescents. approved by the Executive Council, and to SAVE $100! an additional $50! PUBLIC MENTAL HEALTH SERVICES: make recommendations in regard to these To review the effectiveness of the organiza - matters to the Executive Council.

APRIL /M AY 2018 TEXAS PSYCHIATRIST 5 TSCAP Annual Convention & Scientific Program “Update in Child and Adolescent Psychiatric Care: Challenges and Innovations in Practice” JULY 27-29, 2018 • Moody Gardens Hotel, Galveston, Texas

GENERAL INFORMATION MAIL... (pay by credit card or check) Texas Society of Child and Adolescent Psychiatrists MEETING LOCATION TSCAP Annual Convention 401 West 15th Street, Suite 675, Austin, TX 78701 TSCAP’s Annual Convention and Scientific Program will be (The following options require credit card payment) & Scientific Program E-MAIL... [email protected] held at the Moody Gardens Hotel and Spa, Seven Hope Blvd., ONLINE ... http://www.txpsych.org in Galveston. Surrounded by 242 acres of lush tropical gar - “Update in Child and Adolescent Psychiatric Care: FAX ... (512) 478-5223 den landscaping and majestic pyramids, Moody Gardens Challenges and Innovations in Practice” To remit payment online, complete this form and return to Hotel, Spa and Convention Center is Galveston Island’s pre - JULY 27-29, 2018 • Moody Gardens Hotel, Galveston, Texas [email protected] via email. An email invoice will be sent to you via Quickbooks for payment. mier meeting destination. Moody Gardens features: REGISTRATION • Full Service Spa and Fitness Center • Aquarium Pyramid NAME DEGREE • Rainforest Pyramid • Discovery Museum MAILING ADDRESS CITY STATE ZIP

• 3D and 4D Theaters TELEPHONE NUMBER FAX NUMBER E-MAIL • Colonel Paddlewheel Boat • Rope Course and Zip Line Name(s) of Guest(s) Attending ______• Palm Beach Waterpark (Includes Scientific Program, Saturday Lunch During Resident Case Presentation, In addition, Galveston Island offers: SCIENTIFIC PROGRAM REGISTRATION Saturday & Sunday Refreshment Breaks). Before July 4 After July 4 • Schlitterbahn Waterpark TSCAP Member Physician $195 $215 ______• Galveston Island Historic Pleasure Pier Non-Member Physician $250 $270 ______OPENING WELCOME RECEPTION WITH EXHIBITORS Spouse / Guest Claiming CME Credit $195 $215 ______Make plans to attend the complimentary Welcome Reception Allied Health Professional / Spouse / Guest $180 $200 ______with Exhibitors on Friday evening, 6:30 pm-8:30 pm, in the TSCAP Member Trainee $15 $30 ______Moody 1 Ballroom, Moody Gardens Hotel. Visit throughout the Non-Member Trainee $25 $50 ______evening with your friends, colleagues and exhibitors in a fun- Medical Student $0 $15 ______filled, relaxing atmosphere and complete your entry for the spe - SOCIAL EVENTS cial door prize drawings to be awarded on Saturday! Friday Welcome Reception ASK THE EXPERT BOOTH Name(s) Attending Reception: ______Dr. Christopher Thomas will be available during the refresh - Sunday Membership Business Breakfast ment breaks on Saturday at the ‘Ask the Expert Booth’ in the TSCAP Member $15 $20 ______Exhibit Hall to answer questions you may have about Non-Members/Guests/Spouse/Child $20 $25 ______Maintenance of Certification. Name(s) Attending Breakfast: ______MEETING SYLLABUS ORDER HOTEL RESERVATIONS / PARKING Online Meeting Syllabus Free Free Special TSCAP discounted room rates of $199 are available Color Printed Copy $75 $100 ______to program registrants BEFORE JULY 4 or upon sell-out, Black & White Copy $50 $75 whichever occurs first . Make your hotel reservation Vegetarian Plate Requested. No additional fee if requested priorto July 4, otherwise there will be an additional fee of $15.00. today by calling 1-888-388-8484 or visit www.txpsych.org If you require any special assistance to fully participate in this conference, TOTAL REGISTRATION and click on the link in the TSCAP Program information, or please contact TSCAP via e-mail [email protected] or 512/478-0605. paste the following link in your browser: https://res.windsurfercrs.com/ibe/details.aspx?propertyid= PAYMENT INFORMATION 14179&nights=1&checkin=07/27/2018&group=TSCAP718 Check in the Amount of $______Make Checks Payable to Texas Society of Child and Adolescent Psychiatry TSCAP discounted room rates $199 Please Charge $______To My: VISA MasterCard American Express Single-Quad Occupancy Credit Card #______Expiration Date: ______Self-Parking Complimentary 3 or 4 Digit Security Code on Back of Card on Right of Signature Panel ______Valet Parking $20.00 for overnight Name of Cardholder (as it appears on card) ______* Booking a room within the TSCAP room block is an important way to support TSCAP Signature ______and helps to keep the overall meeting registration fee and costs as low as possible. Booking outside of the TSCAP block, or at another hotel could expose TSCAP to mone - ADDRESS WHERE YOU RECEIVEYOUR CREDIT CARD STATEMENT (include address, city, state, zip):______tary charges for attrition. Plus, staying in the hotel keeps you connected with all the ______activities and networking opportunities during the event. Please help us help you by booking your room at the hotel hosting the meeting and within the TSCAP room block. CANCELLATIONS – Deadline for cancellation is July 4, 2018. In the event of cancellation, a full refund will be made if written notice is received in the TSCAP office by July 4, 2018, less a 25% handling charge. NO REFUNDS WILL BE GIVEN AFTER July 4, 2018. ROBUST RISK MANA GEMENT EDUC ATION

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6 TEXAS PSYCHIATRIST APRIL /M AY 2018 EXHIBITS TSCAP’s Welcome Reception, Continental Breakfasts and Refreshment Breaks, will be held in the Moody I Ballroom of the Moody Gardens Hotel. Exhibits will be open PROGRAM AT A GLANCE throughout the evening, Friday, and all day Friday, July 27 Saturday and provide you with information 12:00 pm - 8:30 pm Registration ...... Moody Gardens Ballroom Foyer designed to enhance your practice and help 2:00 pm - 5:30 pm Exhibit Set-Up ...... Moody I improve the optimal delivery of medical care to your patients. In addition, there will 4:00 pm - 5:30 pm TSCAP Executive Committee Meeting ...... Boardroom be ‘job fair’ exhibitors who have 6:30 pm - 8:30 pm Welcome Reception with Exhibitors ...... Moody I employment opportunities for Psychiatrists Saturday, July 28 in the State of Texas. 7:00 am - 4:30 pm Registration ...... Moody Gardens Ballroom Foyer Welcome Reception – Friday, 6:30-8:30 pm 7:30 am - 8:30 am Continental Breakfast with Exhibitors ...... Moody I Continental Breakfast – Saturday, 7:30 am- 8:00 am - 3:45 pm Scientific Program ...... Moody II 8:30 am Note: For Saturday’s Program, to reduce expenses, refreshments will be set in one location, in the Exhibit Hall, Moody I Refreshment Break and Door Prize 10:30 am - 10:50 am Refreshment Break and Door Prize Drawings ...... Moody I Drawings Visit with Dr. Christopher Thomas, ‘Ask the Expert’ Booth’, about MOC Questions Saturday, 10:30 am-10:50 am 11:50 am - 12:10 pm Refreshment Break and Door Prize Drawings ...... Moody I Refreshment Break and Door Prize Drawings Visit with Dr. Christopher Thomas, ‘Ask the Expert’ Booth’, about MOC Questions Saturday, 11:50 am-12:10 pm 1:10 pm - 1:30 pm Refreshment Break and Door Prize Drawings ...... Moody I Refreshment Break with Exhibitors Visit with Dr. Christopher Thomas, ‘Ask the Expert’ Booth’, about MOC Questions and Door Prize Drawings 3:00 pm - 4:00 pm Exhibits Teardown / Depart ...... Moody I Saturday, 1:10 pm-1:30 pm Exhibitors Tear Down and Depart Sunday, July 29 Saturday, 3:00 pm-4:00 pm 7:00 am - 1:00 pm Registration ...... Moody Gardens Ballroom Foyer 7:45 am - 8:45 am TSCAP Annual Business Meeting and Breakfast ANNUAL MEETING BREAKFAST Open to All Attendees (see registration form) ...... Vine Room The Annual TSCAP Business Meeting and 8:45 am - 12:30 pm Scientific Program ...... Moody II Breakfast will be held Sunday, 7:45 am - 8:45 am in the Vine Room of the Moody 10:15 am - 10:30 am Refreshment Break ...... South Ballroom Foyer Gardens Hotel.

ACCREDITATION STATEMENT “Update in Child and Adolescent Psychiatric Care: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Texas Medical Association Challenges and Innovations in Practice” (TMA) through the joint providership of the Texas Society of Psychiatric Physicians and Texas SCIENTIFIC PROGRAM SCHEDULE Society of Child and Adolescent Psychiatry. The Texas Society of Psychiatric Physicians is Saturday, July 28 (5 Hours Category I CME Credit Hours) Sunday, July 29 (3 Hours Category I CME Credit Hours) accredited by TMA to provide continuing 8:00 - 8:30 am Welcome & Opening Remarks medical education for physicians. 8:30 - 9:30 am Challenges and Advocacy 8:45 - 9:15 am Welcome & Opening Remarks CREDIT STATEMENT for Children of Military Services The Texas Society of Psychiatric Physicians Sharette Kirsten Gray, MD, FAPA designates this Live Activity for a maximum of 9:15- 10:15 am Technology Applications TM Objective: The learning objective for this activity has been designed to address Christopher R. Thomas, MD eight (8) AMA PRA Category I Credits Physicians clinician competence. Upon conclusion of the activity participants should be able to: should claim only the credit commensurate with • Identify and discuss the unique challenges of children in military families. Objective: The learning objective for this activity has been designed to address the extent of their participation in the activity. 9:30 - 10:30 am Current Management of Eating Disorders clinician competence. Upon conclusion of the activity participants should be Urszula B. Kelley, MD, CEDS-S able to: ETHICS DESIGNATION STATEMENT • Identify and discuss apps and other electronic media resources with patients that Objective: The learning objective for this activity has been designed to address The ethics presentations “Legal Issues When may help them with mood-tracking, menstrual cycle tracking and relaxation clinician competence. Upon conclusion of the activity participants should be able to: Supervising Advanced Nurse Practitioners and • Understand how to treat patients with eating disorders in an out-patient setting, techniques, among other resources. Their Role in the Practice of Child Psychiatry” and where there are not in-patient facilities nearby. “Use of Genetic Testing in the Practice of Child 10:30 - 10:50 am Refreshment Break 10:15 - 10:30 am Refreshment Break Psychiatry” have been designated by the Texas Society of Psychiatric Physicians for a total of two 10:50 - 11:50 am Transitioning of Youth with Autism to Adulthood (2) credits of education in medical ethics and/or Jane A. Ripperger-Suhler, MD 10:30 - 11:30 am ETHICS: Legal Issues When Supervising professional responsibility. Objective: The learning objective for this activity has been designed to address Advanced Nurse Practitioners and Their Role clinician competence. Upon conclusion of the activity participants should be able to: in the Practice of Child Psychiatry TARGET AUDIENCE/PROGRAM OBJECTIVES • Identify the unique challenges involved in treating patients, transitioning to Moira Wertheimer, Esq., RN, CPHRM, FASHRM This live activity has been designed with didactic adulthood. Objective: The learning objective for this activity has been designed to address lectures supplemented with clinical vignettes, 11:50 - 12:10 pm Refreshment Break clinician competence. Upon conclusion of the activity participants should be audiovisual presentations, direct discussion and 12:10 - 1:10 pm Resident Case Presentation and Faculty Discussant able to: case presentation and discussion in multiple Resident and Faculty Discussant TBD • Understand legal and record-keeping implications involved with supervising educational sessions. Objective: The learning objective for this activity has been designed to address physician extenders. The program is designed to provide its’ target clinician competence. Upon conclusion of the activity participants should be able to: audience of Child and Adolescent Psychiatrists, • TO BE IDENTIFIED Adult Psychiatrists, Pediatricians and Primary 11:30 am - 12:30 pm ETHICS: Use of Genetic Testing in the Care Physicians with clinically relevant 1:10 - 1:30 pm Refreshment Break Practice of Child Psychiatry information to advance the physicians’ 1:30 - 2:30 pm Risks and Benefits of Commonly Used Graham J. Emslie, MD competence and provide them with effective use Complementary and Alternative Treatments Objective: The learning objective for this activity has been designed to address of targeted skills so that they may develop with Patients clinician competence. Upon conclusion of the activity participants should be strategies to apply the knowledge, skills and Steven R. Pliszka, MD able to: judgement of the information presented in the Objective: The learning objective for this activity has been designed to address • Discuss whether or not genetic testing offers benefit to treating their patients. educational activity into their practice. clinician competence. Upon conclusion of the activity participants should be able to: • Identify and discuss the risks and benefits of commonly used complementary and alternative treatments with patients. NEEDS ASSESSMENT TSCAP has incorporated into this CME activity 2:30 - 2:45 pm Closing Remarks the relevant educational needs concerning competence that underlie the professional ABOUT THE SPEAKERS practice gaps of the participants.

Graham J. Emslie, MD Steven R. Pliszka, MD Christopher R. Thomas, MD FACULTY AND PLANNERS Charles E. and Sarah M. Seay Chair in Dielmann Distinguished Professor and Robert L. Stubblefield DISCLOSURE POLICY Child Psychiatry Chair of the Department of Psychiatry Professor of Child Psychiatry In compliance with the ACCME/TMA Standards for Department of Psychiatry / Pediatrics University of Texas Health Science Center Assistant Dean for Commercial Support of CME, to assure balance, UT Southwestern Medical Center at San Antonio Graduate Medical Education independence, objectivity and scientific rigor in all San Antonio, TX Director of Child Psychiatry of its CME activities, prior to the education activity Division Director, Children’s Health being delivered to the learners, the Texas Society Dallas, TX Residency Training Jane A. Ripperger-Suhler, MD University of Texas of Psychiatric Physicians implemented a mechan - ism to identify and resolve personal conflicts of Sharette Kirsten Gray, MD, FAPA Program Director Medical Branch at Galveston Child and Adolescent Psychiatry Training Galveston, TX interest from everyone who was in a position to Colonel (Retired) control the content of the education activity. U.S. Army Division Leader Georgetown, TX Child and Adolescent Psychiatry Moira Wertheimer, Esq., TSPP will disclose to learners the existence (or non- Seton / Ascension Behavioral Health Care RN, CPHRM, FASHRM existence) of all relevant financial relationship(s) Urszula B. Kelley, MD, CEDS-S Assistant Professor of Psychiatry Assistant Vice President that the faculty and planners did (or did not) have Professor of Psychiatry Department of Psychiatry Healthcare and Psychiatric Risk with any commercial interest concerned with the UT Southwestern Medical Center Dell Medical School Management Group content of the educational presentation. Div. of Child and Adolescent Psychiatry Austin, TX AWAC Services Company Disclosure will occur prior to the presentation Chief of Psychiatric Services, CHST, Member Company of Allied World through written communication in the syllabus / Plano Campus Farmington, CT handout materials. Plano, TX

APRIL /M AY 2018 TEXAS PSYCHIATRIST 7 We’ve got you cover ed. For over 40 years, we have provided psychiatrists with exceptional protection and personalized service. W e offer comprehensive insurance coverage and superior risk management support through an “A” rated carrier . In addition to superior protection, o ur clients receive individual attention, underwriting e xpertise, and, where approved by states, p remium discounts. Endorsed by the American P sychiatric Association, our P rofessional Liability P rogram P rovides:

• Risk M anagem en t H ot line • Many di scoun ts, i nclu di ng 24/7 s ho uld a n em er genc y a r ise Claims -Free, N ew B usin ess & No S urcharge f or C laims • Insuring C om pany r at ed (subjec t t o s tate a pprova l) “A” ( Excellent) b y A .M. B est • Interes t-free q ua rterly • Telepsychi at ry, E CT C overage payments/cred it c ards a ccepted & F or ensic P sychi at ric Servic es a re in cl uded

Visit us at apamalpractice.com or call 877.740.1777 to learn more.

L EADERS IN P SYCHIA TRIC MEDICA L L IABI L ITY I NSURANCE

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i 5 times a year in February, April, June, S R U . m P A r U e August, and October. Members of P Federation member organizations are TSPP/TAP Spring Meeting encouraged to submit articles for pos - and CME Program sible publication. Deadline for submit - “The Interface Between ting copy to the Federation Executive Psychiatry and Other Office is the first day of the publication Medical Specialties” month. Copy must be edited, accept - Hotel Reservations: able for publication. Westin Austin at the Domain Hotel Display advertising is available and https://www.starwoodmeeting.com/Book/ publication is determined on a case by TSPPTAPSpringmeeting2018 case basis by the Editorial Board. The Editorial Board reserves the sole right APRIL to accept or reject any submitted 14 Texas Society of Psychiatric Physicians and advertising copy. Texas Academy of Psychiatry y r Spring Committee Meetings and Joint Provider CME Program t EDITORIAL BOARD a i “The Interface Between Psychiatry and Other Medical Specialties” h c Federation Executive Committee Westin Austin at the Domain Hotel, Austin, Texas y 5 7 s Reservations: TSPP discounted room rate of $179 single/double 6 P

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s Available until March 22 or upon sell out whichever occurs first i a u Debbie Giarratano

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n (512) 478-0605/(512) 478-5223 (FAX) e i Section on Psychiatry Program W t d s 1 [email protected] (E-mail) u e JW Marriott Hill Country Resort, San Antonio, Texas 0 4 A F http://www.txpsych.org (website) Reservations: TMA room rate $239 plus $20 discounted resort fee until May 1 or until room block is full. For additional information: www.texmed.org JULY 27-29 Texas Society of Child and Adolescent Psychiatry Annual Meeting and Scientific Program JOB BANK “Update in Child and Adolescent Psychiatric Care: Challenges and Innovations in Practice” Whether you are looking for career opportunities Moody Gardens Hotel, Galveston, Texas Reservations: TSCAP Discounted Room Rate $199 before July 4 or or you are recruiting to fill a position in your organization, upon sell out, whichever occurs first. 1-888-388-8484 or you will want to check out the Federation’s JOB BANK https://res.windsurfercrs.com/ibe/details.aspx?propertyid=14179 &nights=1&checkin=07/27/2018&group=TSCAP718 on its website at www.txpsych.org. The Federation’s JOB BANK For additional information: www.txpsych.org or email [email protected] could be just what you have been looking for.

8 TEXAS PSYCHIATRIST APRIL /M AY 2018