AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW 49TH ANNUAL MEETING October 25-28, 2018 Austin, Texas 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 live activity for a maximum of 33.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAPL 2018Cat.indd 1 10/11/18 9:05 AM AAPL 2018Cat.indd 2 10/11/18 9:05 AM Forty-ninth Annual Meeting American Academy of Psychiatry and the Law October 25-28, 2018 Austin, Texas OFFICERS OF THE ACADEMY Christopher R. Thompson, MD John Paul Fedoroff, MD President Councilor Richard Frierson, MD Anna Glezer, MD President-Elect Councilor Liza Gold, MD Trent Holmberg, MD Vice President Councilor Barry Wall, MD Reena Kapoor, MD Vice President Councilor Michael A. Norko, MD Richard B. Krueger, MD Immediate Past President Councilor William Newman, MD Britta Ostermeyer, MD Secretary Councilor Stuart Anfang Karen Rosenbaum, MD Treasurer Councilor Charles C. Dike, MD, FRCPsy Hal S. Wortzel, MD Councilor Councilor PAST PRESIDENTS Michael A. Norko, Md 2016-17 Larry H. Strasburger, MD 2001-02 J. Richard Ciccone, MD 1986-87 Emily A. Keram, MD 2015-16 Jefrey L. Metzner, MD 2000-01 Selwyn M. Smith, MD 1985-86 Graham Glancy, MB 2014-15 Thomas G. Gutheil, MD 1999-00 Phillip J. Resnick, MD 1984-85 Robert Weinstock, MD 2013-14 Larry R. Faulkner, MD 1998-99 Loren H. Roth, MD 1983-84 Debra Pinals, MD 2012-13 Renée L. Binder, MD 1997-98 Abraham L. Halpern, MD 1982-83 Charles Scott, MD 2011-12 Ezra E. H. Griffith, MD 1996-97 Stanley L. Portnow, MD 1981-82 Peter Ash, MD 2010-11 Paul S. Appelbaum, MD 1995-96 Herbert E. Thomas, MD 1980-81 Stephen B. Billick, MD 2009-10 Park E. Dietz, MD, PhD, MPH 1994-95 Nathan T. Sidley, MD 1979-80 Patricia R. Recupero, MD, JD 2008-09 John M. Bradford, MB 1993-94 Irwin N. Perr, MD 1977-79 Jeffrey S. Janofsky, MD 2007-08 Howard V. Zonana, MD 1992-93 G. Sarwer-Foner, MD 1975-77 Alan R. Felthous, MD 2006-07 Kathleen M. Quinn, MD 1991-92 Seymour Pollack, MD 1973-75 Robert I. Simon, MD 2005-06 Richard T. Rada, MD 1990-91 Robert L. Sadoff, MD 1971-73 Robert T.M. Phillips, MD, PhD 2004-05 Joseph D. Bloom, MD 1989-90 Jonas R. Rappeport, MD 1969-71 Robert Wettstein, MD 2003-04 William H. Reid, MD, MPH 1988-89 Roy J. O’Shaughnessy, MD 2002-03 Richard Rosner, MD 1987-88 2018 ANNUAL MEETING CO-CHAIRS Jessica Ferrante, MD and William Newman, MD 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 Jeffrey Janofsky, MD Jacquelyn T. Coleman, CAE Medical Director Executive Director i AAPL 2018Cat.indd 1 10/11/18 9:05 AM CALL FOR PAPERS 2019 The 50th Annual Meeting of the American Academy of Psychiatry and the Law will be held in Baltimore, MD – October 24-27, 2019 AAPL AT 50: TEACHING AND ADVOCATING FOR FORENSIC PSYCHIATRY Inquiries may be directed to Dr. Susan Hatters Friedman The Program Chair welcomes 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, 2019 FUTURE ANNUAL MEETING DATES and LOCATIONS 51st Annual Meeting October 22-25, 2020 – Chicago, IL 52nd Annual Meeting October 28-31, 2021 – Vancouver, BC, Canada 53rd Annual Meeting October 27-30, 2022 – New Orleans, LA ii AAPL 2018Cat.indd 2 10/11/18 9:05 AM GENERAL INFORMATION Table of Contents Awardees ........................................ 2 CME Information ............................... 145 Call for Papers - 2019 .............................. ii Evaluation Form ................................ 156 Future Meeting Dates .............................. ii AAPL Policies .................................... v Financial Disclosures .............................viii Index of Authors ................................ 151 Invited Speakers .................................. 5 Meeting Facilities ................................. x Opening Ceremony ............................... 1 Program ........................................ 7 Special Events ....................................ix REGISTRATION DESK (Lone Star Foyer) Hours of Operation Wednesday 7:30 a.m. - 6:30 p.m. Thursday 7:30 a.m. - 6:30 p.m. Friday 7:30 a.m. - 6:30 p.m. Saturday 7:30 a.m. - 6:30 p.m. Sunday 7:30 a.m. - 12:30 p.m. AAPL BOOKSTORE Lone Star Foyer NOETIC FILMS Lone Star Foyer PRESENTATION CODES T = Thursday F = Friday S = Saturday Z = Sunday iii AAPL 2018Cat.indd 3 10/11/18 9:05 AM O SUPPORT THE AIER! 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 contributions to forensic education and research programs. MERCHANDISE FOR SALE All proceeds used to fund AIER grants. ORIGINAL PRICE AT MEETING PRICE AAPL Logo Shirt $35.00 $25.00 AAPL Logo Hat $20.00 $10.00 AAPL Shirt and Hat Combo $50.00 $30.00 AAPL Logo Tie $25.00 $15.00 Available shirt sizes are: Men’s M, L, XL and Women’s S, M, L, XL. Merchandise purchases or additional contributions (cash, check, Visa or MasterCard) to the Institute can be made at the AAPL registration desk. To place an order or contribute to the AIER after the meeting please contact the AAPL Executive Office at 800-331-1389. Contributions can be also be made online at www.AAPL.org. 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 AAPL 2018Cat.indd 4 10/11/18 9:05 AM O A MESSAGE TO PHYSICIAN ATTENDEES CONTINUING MEDICAL EDUCATION 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. Questions on the evaluation form 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 educa- tional activities that are most useful to you. Thank you in advance. Richard Frierson, MD, and Liza Gold, MD Co-chairs, Education Committee v AAPL 2018Cat.indd 5 10/11/18 9:05 AM 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.