A quarterly publication of the Department of Psychiatry and Behavioral Medicine Medical College of Wisconsin Autumn 2019 Notes from the Department Chair GOING THE EXTRA MILE WITH CARE AND SUPPORT PSYCHED was created as part of an action plan to improve communication and engagement with- in the Department of Psychiatry and Behavioral Medicine. Over the past five years we have had many editions of the newsletter based upon the Department themes that cover all of our missions. We have published editions in the past that have focused on What I witnessed in response to the need of MCW and the equity and inclusion, expanding access to mental health care, challenges faced by our faculty, staff, and trainees has been finding purpose in our work, the importance of goal setting, nothing short of uplifting and inspiring. I witnessed individ- and the importance and value of mentorship, amongst other uals in the Department stepping up to support one other in timely themes. ways better than I could have ever dreamed of. I witnessed my Department of Psychiatry and Behavioral Medicine fam- PSYCHED editor and creative director Thom Ertl has done ily go the extra mile caring for and supporting one another a tremendous job in organizing each edition in an artful way and supporting our greater MCW family. It brings tears of that includes both an attention to detail and a visual attrac- joy to my eyes to see this giving and caring spirit. tiveness to the finished product. Editorial team members It is during times like Joy Ehlenbach, Karen Hamilton, Kristine James, and Dawn these that I realize What I witnessed in response Norby have all contributed greatly in creating a meaningful how blessed I am to to the need of MCW, the product. Their solid teamwork has helpedPSYCHED meet have played a role in need of our faculty, staff, our established goals and expectations and to get each edi- leading people like and trainees has been noth- tion published in a timely manner. you. I try to learn ing short of uplifting and from you and follow inspiring. I witnessed indi- I am not certain how effectivePSYCHED has been in im- your awesome and in- viduals in the Department proving the communication and engagement in our Depart- spiring examples. This stepping up to support one ment, but I believe it has helped. And based on the support is the kind of culture I other in ways better than I that I witnessed this past summer that was provided toward hoped would develop could have ever dreamed of. each other and toward MCW at their times of need, I can see here. This is the kind how engaged and caring everyone is. of family that I am proud to be affiliated with. Thank you for showing the love Our theme for this edition is to provide a general update and you have for each other. With this kind of supportive cul- reflect on our past year in the Department of Psychiatry and ture, we can make a greater difference and we will continue Behavioral Medicine. This summer proved to be a difficult to grow. one for our Department and for MCW. It was challenging from a financial perspective, but that truly pales in compar- ison to the other reasons it was a tough summer. We lost a third-year medical student to suicide, a heart- Jon A. Lehrmann, MD breaking first. We had other losses experienced by faculty Charles E. Kubly Professor and Chairman, members, injuries to staff, serious illness in some of our fac- Department of Psychiatry and Behavioral Medicine ulty and staff’s personal families, and trainees dealing with Associate Chief of Staff for Mental Health, serious health challenges. Milwaukee VAMC IN THIS EDITION: Behavioral Health Expansion—Page 3 • The CAP Fellowship Program—Page 4 • Welcome!—Page 5 Notes from Administration AN UPDATE ON UPDATES Apropos Dr. Lehrmann’s comment about “updates,” administratively Psychia- try has several high-level activities as noted below. These are in addition to the daily tasks of facilitating the work of the Department in all four mission areas. Technology Faculty Recruitment • Much to the delight and relief of faculty • Related to the growth mentioned above, PSYCHED is a and staff based at CAIR, internet speed after participating in a rigorous F&MCW publication of the and connectivity was just boosted almost exercise, Psychiatry was just approved for six new clinical positions for FY21. Department of ten-fold at CAIR via a vendor upgrade This brings the total of approved full and Psychiatry and to fiber into the building, in partnership part-time clinical positions to 19 for the Behavioral Medicine with MCW’s IT office. MCP. The CSG is currently engaged in a Medical College • A big (really) Departmental desktop and Workforce Planning exercise for FY21. of Wisconsin laptop upgrade to Windows 10 is current- Recruitment for research and other po- Jon A. Lehrmann, MD ly underway. MCW’s IT office will contin- sitions throughout the Department will Chairman and Professor ue to update those systems that can toler- only add to this growth. ate the upgrade and for those that can’t, Thom Ertl scores of new desktop and laptop systems Staff Recruitment Editor/Creative Director are being purchased by the department • In addition to staff recruitment to sup- to keep it compliant with MCW IT stan- port research, staff recruitment is actively Editorial Team: dards. The upgrade is required because focused on adding two medical assistants Joy Ehlenbach Microsoft will cease supporting current to support the clinics and approvals are Karen Hamilton versions of Windows at the end of 2019. being sought to add at least one licensed Kristine James clinical social worker to the clinics, to Dawn Norby Space at Tosa Health Center and the MCW/ help improve access. APNP recruitment GMF Partnership Project is active for the Cancer Center. • To accommodate the significant facul- Budget/Other Operational “Housekeeping” ty and staff growth that Psychiatry has • Key staff leaders will be engaged in evalu- experienced over the last few years, in ating the Department’s clinical fees in the collaboration with MCW Planning and late fall for adoption in calendar year 2020 Development, we have engaged an archi- (January 1, 2020.) tectural firm to review our current space at the Tosa Health Center and evaluate • The FY21 budget and program planning the size and layout of an expansion into exercise will kick off over the holidays, Professionalism the third floor south addition to the Tosa preceded by Dr. Lehrmann’s and David is not about wearing Health Center. At the end of this inclusive Peterson’s “Program Planning Meeting” a suit or white coat, process, we will have a high-level design with the Dean, which also occurs late this or carrying a briefcase— and concept to consider followed by an fall. but rather about approval, funding, and construction de- • MCW’s flu shot vaccination process be- conducting oneself sign process. with responsibility, gins soon. Flu shot clinics managed by the integrity, accountability, • The planning for the MCW/GMF Partner- Psychiatry’s team of nurses will be offered and excellence. ship Project is proceeding space. Dr. Jeff at the Tosa Health Center and CAIR. Please stay tuned and help us stay healthy ~Dean Kerschner Kelly, Karen Opgenorth, and David Pe- terson are on a “Tenant Workgroup” that and compliant. Thank you. meets bi-weekly, if not more frequently, to As always, if you have questions about this ensure that the needs of the occupants and information or any other Department admin- For more information, the community are met. The Partnership istrative activities, please don’t hesitate to ask. visit the department will be housed in the old Schuster’s De- website: partment Store building located on North Martin Luther King Drive, with CAIR www.mcw.edu/ having the largest single MCW footprint David Peterson, MBA, FACMPE psychiatry.htm in the building. Department Administrator Clinical ~2~ Clinical Notes Clinical Notes THE WISCONSIN MATERNAL INTEGRATED BEHAVIORAL MORTALITY REVIEW TEAM HEALTH EXPANDS IN 2019 Each year, at least 50 Wisconsin women die during or with- It’s been two years since launching collaborative care in two in one year of pregnancy. There have been recent increases Froedtert primary care clinics. In that time, we’ve seen depres- in pregnancy-related deaths, which appears to be related to sion screening rates improve from single digits to 75% and mental health and substance use disorders, as well as signifi- taken care of hundreds of patients. Our lookback data showed cant racial disparities in maternal health. While state data var- depression scores drop twice as much compared to usual care, ies, between 60-75% of pregnancy-related deaths are believed with twice the rate of depression remission and an overall cost to be preventable from a patient, family, health-system or savings to the system in fewer inpatient days and reduced community standpoint. The mission of the Wisconsin Mater- ER utilization. Now we’re ready to roll out IBH to four more nal Mortality Review Team (MMRT) is to collect and review Froedtert primary care clinics in the coming year. case-level information about all maternal deaths occurring in Wisconsin for the purpose of making recommendations to The collaborative care the Department of Health Services and its partners on chang- model relies on team- es in systems and practice that may result in the prevention of based care with a be- future deaths. The Wisconsin MMRT is composed of public havioral health nurse health and health care experts who represent professional or- being the main point ganizations involved in the delivery of health care to pregnant of contact, reaching women in Wisconsin, including public health services, peri- out weekly over the natal nursing, midwifery, dietetics, psychiatry, and obstetrics.