September 2017 - NewsCAPP

 

THIS JUST IN . . . ETHICS WORKSHOP . . March 9, 2018.

We are happy to announce CAPP will present our biennial ethics workshop in the spring of 2018. We have set the date for Friday March 9th. Our speakers are Drs. Richard Ashbrook and Debjani Sinha, both of whom are members of OPA’s Ethics Committee. More details will be forthcoming, but plan now to attend this 4-hour workshop which will fulfill your MCE Ethics requirement!  MARK YOUR CALENDARS.

 

President’s Message: Jim Dahmann, Ph.D., CAPP President

 I am pleased to announce that, not only have we added a number of new members over the summer, we also had some former members rejoin the organization.  This is very heartening!

 Wondering about the coincidence of both Ohio and Kentucky proposing or instituting changes to the psychology board at the same time?  Our friends at Kentucky Psychological Association explain.   It turns out  board reorganization efforts are happening in states across the country, partly in response to a 2015 United States Supreme Court decision in the North Carolina Board of Dental Examiners v. Federal Trade Commission which found that dental board to be in violation of anti-trust provisions, opening the state and individual board members to liability concerns.  The case--in what I see as a scary precedent--blocked the board from stopping people who were not dentists from offering teeth whitening services.  One conclusion is that professional boards now need executive-branch oversight in order to avoid similar anti-trust lawsuits. 

 I’m going to focus on Kentucky’s changes because Kentucky can be seen as the canary in the coal mine for Ohio, and we have Kentucky licensed CAPP members.

 Each of the 40 Kentucky licensing boards will now have 5 members, all appointed by the governor including the executive director.  Requirements for particular representation within each board (such as the current requirement for the psychology board to have 6 doctoral, 2 master’s, and one public member) will be eliminated.  It might get worse.  In fact, some proposed changes would run counter to state laws that require a board’s executive director to be a licensed member of that profession.  For example, the proposed nursing board will have no nurses on it.   Cabinet officials said allowing a licensee to oversee the board could create an anti-trust violation.  So we will have non-professionals deciding who can be licensed.

 In addition, the fees paid by licensees may be at risk.  While in Kentucky  the boards would still set licensing fees and create their own budgets, it’s not clear who will control the funds.   “These are funds that are paid by the members for licensing and other fees,” said Kentucky psychologist Dr. Sheila Schuster.   “It’s not taxpayer money.”

 Finally, one person might oversee a group of boards.  For example, boards that oversee dentistry, optometrists, podiatry, pharmacy, chiropractors and psychologists would be grouped together with one executive director.

 Anybody else see problems on the horizon for Kentucky?  KPA fought, and continues to fight, this without success. How is Ohio going to deal with this legal challenge?  CAPP will keep its  eyes and ears open through our OPA representative.  In the meantime, be scared.  Very scared. 

 In the last newsletter, you read about a rather spectacular water spill at our first coffee get-together.  Dr. Heitkemper was kind enough not to reveal the details, so I will.  I was the perpetrator, and Gary Schneider the victim.  He’d just gotten the pants back from the cleaners, too.  If you missed it, be sure to make the next coffee for the encore performance!  Tom’s already planning it.  Unfortunately, we had to cancel our summer picnic due to a lack of response. 

 If you are interested in how our mental health care system got into the mess it is in, check out the book “no one cares about crazy people” (the small letters are deliberate) by Ron Powers.  But be forewarned--it is gut-wrenching.  Mr. Powers, who has won both a Pulitzer Prize and an Emmy, had two sons with schizophrenia, one of whom hung himself in their basement.  He and his wife (a Ph.D. biologist) had the financial means and knowledge to obtain treatment for their sons, and it was still a nightmare for them to get it due to our ridiculous legal and treatment systems.  (Thomas Szasz and his ilk have much to pay for.)  How far we have fallen, literally locking up people who are mentally ill just like we did hundreds of years ago!   A fascinating tidbit: in 1950, fully 90% of hospital beds in the U.S. were psychiatric beds.  Today, good luck finding one when you need it.

 There is now a movement within the National Alliance on Mental illness (NAMI) to force it to focus more on the plight of those with serious mental illnesses and the treatment system problems.  Some believe NAMI National has been influenced by money from drug manufacturers to rely and encourage drugs as the sole or best method of treatment.  Sound familiar?  While there is definitely a need to focus on this population, the movement was felt to be too exclusive, divisive and/or political by most NAMI members (the group  broke NAMI’s rules by campaigning).  Not a single one of the three running got elected to the board.  We will do well to learn from this and remember that we must work for ALL of our members, just as NAMI must work for ALL people with mental illness.

 On the bright side, good things are happening at the Federal level, of all places!  Dr. Tom Price, the new head of the Department of Health and Human Services, is making major changes in the way the department looks at mental health.  In his remarks at the First Meeting of the Interdepartmental Serious Mental Illness Coordinating Committee, he states “We are badly in need of a fresh examination of how we treat serious mental illness in America.”  (It is notable that Dr. Ben Carson, Secretary of HUD, was present also--heartening, since housing for his population is a major problem)  Secretary Price named serious mental illness as one of the department’s top three clinical priorities (the others being the opioid crisis and childhood obesity)!!!    Can you believe this???

 Dr. Price noted that there are 10 million Americans in a given year living with a serious mental illness (with one third getting no mental health care at all in the past year), that these people have lives that are 8-10 years shorter than the general population, and that 10 times more American with SMI are in prison than in hospitals.   We now have in place Dr. McCance-Katz, America’s first Assistant Secretary for Mental Health and Substance Use, a position created by the 21st Century Cures Act.  (This was the act pushed through Congress with bipartisan support by Senator Murphy (R-PA), who is (of course!) a psychologist and signed by President Obama into law last year.)  Secretary McCance-Katz had been the chief medical officer of SAMHSA during the Obama administration.  She resigned out of disgust with the agency, which was staffed by people who didn’t believe mental illness was real.  It’s head was a lawyer, not a mental health professional.  In fact, Dr. McCance-Katz is the first psychiatrist to head SAMHSA.  Let’s hope she can straighten out this horrible agency.

 This group is not the first commission ever convened by a president to look at serious mental illness (Jimmy Carter had one, and the New Freedom Commission of George W. Bush first identified our public mental health system as being “a shambles”).  However, it is the first one required to report to Congress on the federal government’s handling of SMI.  Dr. Price noted that efforts needed “go well beyond the parts of this department that have traditionally dealt with mental illness.”  The Department’s new vision: “Behavioral health is essential to health. Prevention works. Treatment is effective. People recover.”[1] 

 Back in the day, we worried there were not enough female psychologists.  Recently, I was asked by a friend for the names of some young (defined by the asker as under 55, so not too restrictive) male psychologists for his son.  Paging through the CAPP directory, I was amazed at how few there are!  Women now make up the majority of newly licensed psychologists. 

 Things are really hopping in our field.  Stay tuned to CAPP and we will do our best to keep you informed!

 [1] Price, T.E. (2017).  Remarks at the first meeting of the Interdepartmental Serious Mental illness Coordinating Committee.  August 31, 2017.  https://www.hhs.gov/about/leadership/secretary/speeches/2017-speeches/remarks-first-meeting-interdepartmental-serious-mental-illness-coordinating-committee.html

  

Treasurer’s Report: Cori Yaeger, Ph.D.

CAPP has made some recent advances that we expect to result in decreased expenses and increased revenue.  Although we are doing well financially, we want to position our organization so that we better fulfill our goals and become more visible in the community.

Our new website allows online application for membership, renewal forms, and registration forms for all of our continuing education programs. Using the website saves administrative time and money. Also, CAPP members can access their own profile and make necessary changes without contacting our executive coordinator or webmaster.

CAPP  has also gone through the (arduous) process of applying for and being granted provider status with the Ohio Counselor, Social Worker, and Marriage and Family Therapist Board, so that we no longer have to apply for approval for each program offering. This saves countless hours of volunteer board member time as well as administrative time.  CAPP has also procured the services of a licensed social worker and a licensed marriage and family therapist, as well as utilizing a board member with dual licensure as a psychologist and a licensed clinical counselor to assist in choosing speakers, designing programs, and writing promotional materials for our continuing education programs.

The board continues to explore options to make our services more visible in the community. We donate to the Ohio Psychology Board student science fair, as well as sponsor walkers for the Northern Kentucky NAMI Steps Against Stigma 5k walk.

A few changes to our bylaws may result in more money-saving and revenue-boosting policies. Watch for the notice of changes that you’ll receive in the next several weeks.  

 Website News: Joeanne Gutzwiller, Ph.D.

 Tickets for our October 13th Workshop: Cognitive Behavioral Treatment of Hoarding Disorder and OCD, with Dr. Renae Reinardy, are now available on our website at www.cappnet.org. Dr. Reinardy is an amazing speaker ~ hope to see you there!

  Curious about what the CAPP Board discusses at our monthly board meetings? We want to be transparent with our members and we always post meeting minutes on our website. Check them out on the Member Page if you’re interested. We’ve also added contact information for each board member on the Member Page should you wish to contact any of us directly.

  As a reminder, CAPP members may change their public listing on our website at any time by going to the Member Page, selecting Edit Public Profile, and choosing your name. If you have an address change, want to add/delete a specialty, or would like to add a photo to your profile, you can do so easily by following the above instructions. As always, please let us know if you have questions. 

 

Public Relations: Joeanne Gutzwiller, Ph.D.

Please remember to follow us on twitter (@CAPPNews) and like us on FaceBook (www.facebook.com/CAPPNews) to stay up to date on the latest CAPP news. 

 Social Committee News: Thomas Heitkemper, Ph.D.

 We gave it a good try but the CAPP Picnic scheduled for June 11 didn’t work out and we’ll be rethinking that concept. What did work out very well was “Coffee with CAPP” last spring, so we’ll reprise that event this fall! We have the same room reserved at Sleepy Bee Café in Blue Ash (on Kenwood Road two blocks north of the Ronald Reagan Cross County Highway) on Friday November 10th from 7 AM till 9 AM. They have good coffee, great food and a very accommodating staff. We invite you to buy a morning beverage and join us in celebrating a TGIF moment with your fellow psychologists. It’s a nice way to network with, and enjoy the company of, your colleagues in a very informal and relaxed setting. Hope to see you there! 

 

Insurance & Managed Care News: Teri Role-Warren, Ph.D.

OPA’s Insurance Committee encourages members to post insurance problems on the list serve and to report violations to the Ohio Department of Insurance. To that end, Jim Broyles sent a letter to Ohio psychologists instructing them on how use the Prompt Pay law as well as how to keep audit-ready records. Problems continue with reimbursement for the 90837 CPT code. Some psychologists continue to use the 90837 code, despite ominous letters from insurance companies, claiming that 90837 is outside of local norms and might trigger audits for psychologists who use it. The insurance committee collected data to refute the claim and was successful in getting that letter changed,—so far, only in the Cleveland area. Also noted were inconsistent directives from UBH/Optum’s regarding whether pre-authorizations are required. Also being monitored are credentialling delays and inconsistent directives from medicaid insurance companies regarding whether psychologists may have supervisees. 

 

Membership News: Patricia Eiler-Sims, Psy.D.

A hearty welcome to our newest CAPP members: 

Beth Rosen, Ph.D.

 Dr. Beth Rosen recently moved to Cincinnati.  She previously lived in the Boston area and had a private practice treating adolescents and adults.  Her areas of expertise include OCD, anxiety disorders, chronic illness and chronic pain, occupational health, mindfulness based CBT, and adjustment to life transitions.  Beth is currently exploring opportunities for psychologists here in the Cincinnati area.  She is interested in opportunities for networking and peer consultation/supervision.

  Carrie Piazza-Wagoner, Ph.D.

 Dr. Carrie Piazza-Wagoner recently joined the Macks Psychology Group in West Chester after 13 years at Cincinnati Children’s Hospital Medical Center (CCHMC), Behavioral Medicine and Clinical Psychology.   She worked as a clinician on the inpatient medical consultation-liaison service at CCHMC.  Her areas of expertise include cognitive behavioral therapy with kids and teens (e.g., anxiety, depression, stress management & coping). She also continues her medical focus with pain management and coping with chronic illness in children. Dr. Piazza-Wagoner also works with parents around grief/bereavement of the loss of a child or coping with a child's medical diagnosis.  

  Martyn Whittingham, Ph.D.

 Dr. Martyn Whittingham obtained his doctorate degree in counseling psychology at Indiana University Bloomington.  He is currently practicing at the Cincinnati Center for Psychotherapy and Psychoanalysis.  He treats children ages 13 to 18, and adults with anxiety and depression/mood disorders using a psychodynamic therapy approach. Dr. Whittingham also works with therapists on personal and professional development.

  James Rosenthal, Psy.D                                

 Dr. James Rosenthal obtained his doctorate degree from Indiana State University in 1993.  He currently works with children ages 6 to 18 and adults.  His areas of expertise include anxiety, depression/mood disorders, ADHD, behavioral disorders, stress management, psychological testing, career testing/consultation.  He currently provides services in Covington, Kentucky and Middletown Ohio.   

 We would like to welcome back Drs. Robin Arthur & Helen Asbury to CAPP membership.

 You can find contact information for all of the above on the CAPP website!  Please continue to spread the word about the great benefits of joining CAPP!

 

 OPA News: Sarah Greenwell, Psy.D.

 A new OPA year has begun with a new board structure.  While the OPA Mission, Vision and Values continue, OPA now has a board made up of 11 members.  There are 5 vice presidents, with committees grouped under specific Leadership Teams, overseen by one Vice President.  Also on the OPA Board continues to be the President, President Elect, Past President, Finance Officer, OPAGS representative, and APA Council representative. Of note, regional representatives, such as the CAPP regional representative, no longer sit on the OPA board.  Instead an OPA Regional Network will be created and members will interface with the OPA President.  OPA regional representatives will continue to attend 1-2 board meetings a year. As the OPA Board moves forward with a new leadership model, CAPP will continue to work with OPA to maintain a strong relationship.

 On the legislative side, OPA has been working closely with Representative Seitz on HB326, the Prescription Privileges for Psychologists bill.  The OPA RxP Task force, Michael Ranney, along with OPA lobbyist Penny Tipps, continue to answer questions and concerns presented by the Ohio Psychiatric Physicians Association (OPPA) and Ohio State Medical Association (OSMA) to Rep. Seitz regarding prescription privileges for psychologists. The recent veto of the Oregon RxP bill has presented a challenge and allowed for increasing questions regarding the length of training and number of contact hours psychologists would be required to receive, as well as the requirement for 1-2 years of external supervision from a physician.  Updates on HS326 can be found on the OPA website (www.ohpsych.org).

The OPA Communication/Technology Committee is working with ASPPB (Association of State and Provincial Psychology Boards) to promote state advocacy for PSYPACT.  OPA may consider taking on this legislation in the future. PSYPACT is the Psychology Interjurisdictional Compact.  It was created to facilitate telehealth and temporary practice of psychology across jurisdictional (interstate) boundaries, and to encourage agreement between states over legislation regarding the practice of psychology across states.  Once seven states agree to PSYPACT, licensed psychologists will be able to apply for Interjurisdictional Practice Certificate (IPC) to conduct temporary in-person, face-to-face practice in those PSYPACT states.   For more information about PSYPACT, go to the ASPPB website (www.asppb.net) or www.psypact.org.  As a side note, for those considering ASPPB credentialing, the ASPPB certificate will include the E.Passport needed for a psychologist to provide telepsychology services across jurisdictional lines.    Please feel free to contact your OPA representative at sarah.greenwell@cchmc.org with any further questions about OPA.  

 

Membership Marketing: Mary L. Kelley, Ph.D.

Please continue to invite psychologists (established or newly licensed) who aren’t a member of CAPP to check us out!  If they join CAPP, your next dinner meeting is on us! 

 

Program News: Gary A. Schneider, Ph.D., LICDC-CS

 

MAY 3, 2017CAPP DINNER MEETING - WHEN CLIENTS GET STUCK:  Incorporating Acceptance and Commitment Therapy (ACT) w/ Speaker: Richard Sears, PSY.D, MBA, ABPP

How enjoyable and productive it was to hear a presentation about a treatment model that could be integrated into a number of therapeutic approaches!  As I mentioned to Dr. Sears after his talk, I heard concepts that I thought were easily integrated into a number of therapeutic approaches – strategic, solution-oriented, and experiential (to name a few!). 

  As this was my first presentation that I have attended on ACT, for me as a “rookie,” the following concepts seemed essential:   

  1. The overarching concept of helping a client move from rigid thinking to an increased flexibility of thought.
  2. The enormous importance of the role of the therapeutic relationship (sound familiar?).
  3. The redundant phrases of functionality posed to the client – “How is that working for you”? or “Is that working for you”?
  4. The myriad problems to the client of the strategy of “trying to get rid of ” his/her symptoms.
  5. A Short Definition of Act:  ACT uses acceptance and mindfulness processes, and commitment and behavior change processes, to produce greater psychological flexibility. (Steven C. Hayes—contectualscience.org)
  6. Acceptance processes, including mindfulness, help clients let go of struggles with their own internal experiences with strong thoughts and feelings.
  7. Commitment processes help clients clarify and move toward their own values in the service of living a more meaningful life.  It is not focused on symptom reduction.

  Dr. Sears described the evolution of this approach, which was pioneered by Dr. Steven C. Hayes and colleagues.  A major focus of this approach is that it is based on “what works”, certainly a very practical approach.  Dr. Sears also presented the importance of Cognitive Defusion (noticing thoughts vs. getting caught up in them) as fighting thoughts can make things worse.

  For further information, please contact:  Association for Contextual Behavioral Science (ACBS) and www.contextualscience.org.   Thank you, Dr. Sears!

SEPTEMBER 11, 2017 Dinner Meeting - Who’s Under the Transgender Umbrella: News and views from the Trans Community w/ Speaker:  Cori Yaeger, Ph.D. 

 Did you ever go to a continuing education event and realize how little you knew about a topic?  Well, that was my experience, and maybe the experience of some others in attendance.  Dr. Yaeger presented a compendium, maybe even an encyclopedia (that is an old fashioned word!) of everything you ever wanted to know about Transgender and Gender issues. 

She candidly admitted that she could not keep issues of politics and religion out of her discussion as she felt that the political and religious issues were a source of oppression for individuals whose gender issues where outside of the norm, and sometimes, outside of the law. 

After giving a historical prospective, Dr. Yaeger gave many definitions of terms in this area of work, terms which often change.  An important clarification was that Transman was a woman transitioning to a man and Transwoman was a man transitioning to a woman.   Although the number of Transmen and Transwomen are about the same, it is the public’s impression that there are more Transwomen than Transmen.  Dr. Yaeger pointed out the following reasons why Transwomen receive more media interest and attention:

Societal expectations of how a woman should look are narrow and often set unrealistic expectations about looking “sexy.”

  1. Patriarchal interest and wondering why a man would give up male privilege.
  2. The “feminizing” process is more complicated and expensive because of the difficulty in reversing the effects of testosterone.

A major issue was the importance of the distinction between sexual orientation and gender identity.  That is, sexual orientation is about – to whom one is attracted.  Gender identity is about - who one is and how one identifies on the masculine…..feminine scale.  It often underlies gender expression (how one speaks, dresses, walks, etc.).  When sexual or biological identity (as defined by biology) clashes with gender identity, we have Gender Dysphoria, a DSM5 Diagnosis, a change from the DSM IV Diagnosis of Gender Identity Disorder.  Dr. Yaeger pointed out that the important qualities of Gender Dysphoria are that these qualities are:  Insistent, Persistent, and Consistent. 

Her talk was filled with many statistics and myths about those under the Transgender Umbrella, including the following: 

It is estimated that 1% to 5% of the population is Transgender.

  1. 1% of the population is asexual.  
  2. According to a 2015 U.S. Trans survey – 29% of Transgender people live in poverty, compared to 14% of the general population.  
  3. 30% of Transgender people report being homeless at some point in their lives, with 12% saying it was within the past 12 months.
  4. 40% of respondents reported attempting suicide in their lifetime, about nine times the attempted suicide rate in the United States (4.6%).
  5. Most states and countries offer no legal protections in housing, employment, health care, and other areas where individuals experience discrimination based on their Gender identity or expression.
  6. Some of the myths about Transgender are:  “Deceptive predatory” men posing a threat to safety of others; Transgender individuals suffer from internalized homophobia; Transmen are “women” – not authentic men; Transwomen are “delusional, confused, mentally ill” men; Transwomen are psychosexually disordered “paraphilic” men with sexual deviance/fetishism.

Finally, Dr. Yaeger emphasized the importance of a strong support network and provided those in attendance with a very extensive resource list, complete with websites, documentaries, videos, books, further training, etc.  Dr. Yaeger – thank you for educating me on how little I knew about Gender and Transgender issues and pointing all of us in the direction toward being able to know how to learn more about this area.  

SAVE THESE DATES . . . and plan to join us!

October 13, 2017:  Full Day Workshop – 6 CEUs.  “Cognitive Behavioral Treatment of Hoarding Disorder and OCD” – Speaker:  Renae Reinardy, PsyD.   Dr. Reinardy has agreed to return for a full-day workshop as requested after her extremely well received dinner meeting on 02/01/16.    

December 4, 2017:  Dinner Meeting – 2 CEUs.  “Concussion update for Psychologists” – Speaker: Thomas Sullivan, Ph.D., ABPP

February 4, 2018: Dinner Meeting - 2 CEUs.  Topic and Speaker to be Confirmed at a later date.

March 9, 2018:  Ethics Workshop - 4 CEUs for Licensed Psychologists. Our speakers are Drs. Richard Ashbrook and Debjani Sinha, both of whom are members of OPA’s Ethics Committee. More details will be forthcoming, but plan now to attend this 4-hour workshop which will fulfill your MCE Ethics requirement!  

Please watch for emails from CAPP containing registration information for the above events and/or our website in the “Events” tab. 

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 MEMBER’S CORNER:

FOR ALL KENTUCKY LICENCEES-- A new domestic violence reporting law has just gone into effect.  YOU WILL NOT RECEIVE NOTICE OF THIS FROM THE KENTUCKY PSYCHOLOGY LICENSING BOARD!!! submitted by James Dahmann, Ph.D.

Before June 29, 2017:

• Kentucky was the only state that mandated domestic violence reporting.

• KRS 209A.030 - any person having reasonable cause to suspect that an adult has suffered abuse or neglect by a spouse was mandated to report to the cabinet (whether the victim wanted it to be reported or not).

• These practices were not effective in improving victim outcomes or rates of domestic violence.

As of June 29, 2017

• New regulations are more empowering to the victim. Victims are more broadly defined after a 2015 change to the law that expanded the definition from married couples to include dating partners.

Reports of domestic violence, abuse, or dating violence can be made to law enforcement if requested by the victim and the professional has discussed the ramifications of reporting to a law officer with the victim.

• KRS 383 adds a section pertaining to landlords and tenants that prohibits a landlord from terminating or failing to renew leases “because of the person’s status as a protected tenant.”

• There is a mandated duty to report to law enforcement for a professional if s/he believes the death of a client is related to domestic violence. There is no time frame specified but vulnerable to wide range of interpretation regarding the word “believes.”

• Professional with reason to believe person has been a victim of domestic violence shall provide the victim with educational materials related to DV and abuse and how to access regional domestic violence programs under KRS 209.160 or rape crisis center under KRS 211.600 and information about how to access protective orders. Educational materials required by this statute are available on Kentucky Coalition Against Domestic Violence website – www.kcadv.org.

• A professional violating the provisions of the KRS 209A shall be guilty of a Class B misdemeanor and penalized in accordance with KRS

 

Gay/Bisexual Married Men's Support Group:  

Are you working with an individual or couple where the husband is married heterosexually, but is coming out to themselves and others in terms of their gay or bisexual identities? If so, you know how devastating this can often be for all parties involved. This support group, which has been active for over 10 years, is for individuals who are working on issues related to being heterosexually married or recently divorced and questioning, struggling, or coping with their sexual identity. This 90-minute bi-weekly group focuses on emotional exploration, identity development, and mutual support for members navigating this challenging personal truth. The group's aim is support—not pressure in any direction to either leave, or stay in, a marriage. Often the group has been an important resource to help participants take steps toward greater authenticity and honesty by coming out to their spouses and extended families, navigating divorce, shared parenting, and at times ostracism by their families and children. But increasingly, with new-found knowledge of their spouse's sexual identity, many couples are now attempting to achieve or navigate mixed orientation marriages.  If you have a client you'd like to refer, please contact me for more information. Steven D. Nichols, Ph.D., 513-312-2203 or steven@nicholsphd.com  www.nicholsphd.com

 

 

 Remember to encourage your peers and colleagues to check CAPP out!

www.cappnet.org

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