AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW 40TH ANNUAL MEETING October 29 - November 1, 2009 Baltimore, Maryland The American Academy of Psychiatry and the Law is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians. The American Academy of Psychiatry and the Law designates this educational activity for a maximum of 31.75 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Fortieth Annual Meeting American Academy of Psychiatry and the Law October 29 - November 1, 2009 Baltimore, Maryland OFFICERS OF THE ACADEMY Patricia R. Recupero, MD, JD Brian Crowley, MD President Councilor Stephen B. Billick, MD Annette L. Hanson, MD President-Elect Councilor Jagannathan Srinivasaraghavan, MD Stuart A. Anfang, MD Vice President Councilor Jeffrey D. Janofsky, MD Mark Hauser, MD Immediate Past President Councilor Victoria L. Harris, MD, MPH Susan Hatters Friedman, MD Secretary Councilor Debra A. Pinals, MD Robert L. Trestman, MD, PhD Treasurer Councilor Liza H. Gold, MD Robert Weinstock, MD Councilor Councilor Alec W. Buchanan, MD, PhD Councilor PAST PRESIDENTS Jeffrey S. Janofsky, MD 2007-08 Richard T. Rada, MD 1990-91 Alan R. Felthous, MD 2006-07 Joseph D. Bloom, MD 1989-90 Robert I. Simon, MD 2005-06 William H. Reid, MD, MPH 1988-89 Robert T.M. Phillips, MD, PhD 2004-05 Richard Rosner, MD 1987-88 Robert Wettstein, MD 2003-04 J. Richard Ciccone, MD 1986-87 Roy J. O’Shaughnessy, MD 2002-03 Selwyn M. Smith, MD 1985-86 Larry H. Strasburger, MD 2001-02 Phillip J. Resnick, MD 1984-85 Jefrey L. Metzner, MD 2000-01 Loren H. Roth, MD 1983-84 Thomas G. Gutheil, MD 1999-00 Abraham L. Halpern, MD 1982-83 Larry R. Faulkner, M.D 1998-99 Stanley L. Portnow, MD 1981-82 Renée L. Binder, MD 1997-98 Herbert E. Thomas, MD 1980-81 Ezra E. H. Griffith, MD 1996-97 Nathan T. Sidley, MD 1979-80 Paul S. Appelbaum, MD 1995-96 Irwin N. Perr, MD 1977-79 Park E. Dietz, MD, PhD, MPH 1994-95 G. Sarwer-Foner, MD 1975-77 John M. Bradford, MB 1993-94 Seymour Pollack, MD 1973-75 Howard V. Zonana, MD 1992-93 Robert L. Sadoff, MD 1971-73 Kathleen M. Quinn, MD 1991-92 Jonas R. Rappeport, MD 1969-71 2009 ANNUAL MEETING CHAIR Marilyn Price, MD, CM EXECUTIVE OFFICES OF THE ACADEMY One Regency Drive, P. O. Box 30, Bloomfield, CT 06002-0030 Office: 860-242-5450 Fax: 860-286-0787 Toll Free: 800-331-1389 E-mail: [email protected] Website: www.AAPL.org Howard V. Zonana, MD Jacquelyn T. Coleman, CAE Medical Director Executive Director i CALL FOR PAPERS 2010 The 41st Annual Meeting of the American Academy of Psychiatry and the Law will be held in Tucson, Arizona October 21-24, 2010 Inquiries may be directed to, Peter Ash, MD, or Eraka Bath, MD Program Co-Chairs. The Program Co-Chairs welcome suggestions for a mock trial or other special presentations well in advance of the submission date. Abstract submission forms will be posted online at www.AAPL.org. The deadline for abstractO submission is March 1, 2010 FUTURE ANNUAL MEETING DATES and LOCATIONS 42nd Annual Meeting October 27-30, 2011 Park Plaza Hotel and Towers, Boston, Massachusetts 43rd Annual Meeting October 26-29, 2012 Le Centre Sheraton, Montreal, QC, Canada 44th Annual Meeting October 24-27, 2013 Hotel del Coronado, San Diego, California 45th Annual Meeting October 23-26, 2014 Chicago Marriott Downtown, Chicago, Illinois ii GENERAL Information Table of Contents Awardees. 3 CME Information. 129 Call for Papers - 2010. ii Evaluation Form. 131 Future Meeting Dates. ii AAPL Policies . v Financial Disclosures . vii Index of Authors. 141 Invited Speakers. 5 Meeting Facilities . x Opening Ceremony . 1 Program . 7 Special Events. ix REGISTRATION DESK (Harborside Foyer, Harborside Level) Hours of Operation Wednesday 1:00 p.m. - 6:00 p.m. Thursday 7:30 a.m. - 6:00 p.m. Friday 7:30 a.m. - 6:00 p.m. Saturday 7:30 a.m. - 6:00 p.m. Sunday 7:30 a.m. - 12:00 noon AAPL BOOKSTORE Harborside Foyer, Harborside Level MONDO Digital SOLUTIONS, INC. Harborside Foyer, Harborside Level COURSE CODES T = Thursday F = Friday S = Saturday Z = Sunday Designations USED IN THIS PROGRAM (I) Invited (Core) Contains material on basic forensic practice issues (Advanced) Contains material that requires understanding of basic forensic practice issues iii O American Academy of Psychiatry and the Law Institute for Education and Research AIER The AIER was developed to stimulate educational and research activities, provide educational resources and activities, and to aid education and research by encouraging tax-exempt donations to forensic edu- cation and research programs. The RFP for educational and research grant proposals is available at the registration desk. Support the AIER AAPL Logo Shirt * $35.00 AAPL Logo Hats $20.00 AAPL Shirt and Hat * $50.00 Additional Donation $___________ Total $___________ *Please circle desired size below: Men’s Medium Men’s Large Men’s X-Large Women’s Small Women’s Medium Women’s Large Women’s X-Large Please make your check or money order payable in US funds to the AIER and return to: AIER One Regency Drive, P.O. Box 30, Bloomfield, CT 06002 Or you may charge to your Visa or Master Card: n VISA n MC Account #________________________________________ Exp. Date __________ Print Name ____________________________________________________________________ Authorized Signature ____________________________________________________________ Amount enclosed or amount charged to credit card: $__________________________________ The American Academy of Psychiatry and the Law’s Institute for Education and Research, Inc., is exempt from federal income taxes as a public charity under IRS Section 501 (c) (3). iv O A MESSAGE TO PHYSICIAN ATTENDEES CONTINUING MEDICAL Education CHANGES I. Gaps: In compliance with the Updated Accreditation Criteria of the Accreditation Council for Continuing Medical Education (ACCME), the Education Committee of AAPL has identified “professional practice gaps.” Definition: A “professional practice gap” is the difference between what a health professional is doing or accomplishing compared to what is achievable on the basis of current professional knowledge. For this Annual Meeting the following gaps have been identified based on the AAPL Educational Mission Statement printed on the next page: 1. Not practicing forensic psychiatry at the highest level attainable based on current knowledge of the fundamentals of the field. Need: Improvement in knowledge of civil, criminal, and correctional forensic psychiatry. 2. Lacking the knowledge of content or technique to teach psychiatrists the fundamentals of forensic psychiatry in the most effective ways. Need: Knowing new content and effective ways to teach forensic psychiatry. 3. Lacking the ability to conduct or assess research in forensic psychiatry. Needs: 1. Knowing how to do research or 2. Knowing the outcomes of research in forensic psychiatry and how to apply those outcomes to forensic practice. II. Changes in behavior/objectives: It is intended that, as a result of attending this meeting, psychiatrists will be able to identify changes in competence or performance that are desirable. Definitions: Competence” is knowing how to do something. “Performance” is what a psychiatrist would do in practice if given the opportunity. Participants will improve their competence or performance in forensic psychiatry in the following three areas: 1. Service, including treatment of forensic patients, development of service delivery strategies, and enhancement of consultative abilities at the interface of psychiatry and the legal profession; 2. Teaching, including new methods of training of forensic psychiatrists and classification of the tasks and functions of forensic psychiatrists; and 3. Research, gaining access to scientific data in area that form the basis for practice of discipline. III. Evaluation: The Updated Accreditation criteria are designed to integrate with the new requirements for maintenance of certification. (For more information see www.ABPN.org.) Physicians are expected to perform self assessments of their prac- tice, but AAPL, as an organization accredited by the ACCME, is expected to measure how its educational activities assist physicians in this activity. Thus, there are new questions in the evaluation form at the end of this Program Book. Those questions address your intended changes in competence or performance. In a few months, we will contact all physician meeting attendees to ask you if you actually HAVE experienced changes in competence or performance. Your responses, now and in the future, will assist us and ultimately you in determining educational activities that are most useful to you. Thank you in advance. Debra Pinals, MD, Marilyn Price, MD, CM and Cheryl Wills, MD Co-chairs, Education Committee v O AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW Continuing Medical Education Mission Statement The Bylaws of the American Academy of Psychiatry and the Law place education first among the purposes for which the Academy exists. Purpose: Through the education process, the Academy desires to: promote the exchange of ideas and experiences that enrich the field of psychiatry and the law, provide practical knowledge for members and others with an interest in this area, foster the development of future psychiatrists in this field, and encourage research. Target Audience: Our target audience includes members and other psychiatrists interested in forensic psychiatry. Content areas: Each educational offering of the Academy shall have as content areas subjects that improve skills in at least one of the following: 1) practice, including treatment of forensic patients and forensic examinations in the criminal and civil context, development of service delivery and risk management strategies, and enhancement of consultative abilities at the interface of psychiatry and the law; 2) teaching, including developing new and improv- ing existing methods of forensic training of psychiatrists; and 3) research, including the development and application of scientific data in areas that form the basis for practice of the discipline.