Our Personal Journeys Through Psychopharmacological Training and Consultation

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1 Our Personal Journeys Through Psychopharmacological Training and Consultation Mary Pat Noonan, Ph.D., L.P. MSCP Harlan Gilbertson, Psy.D., L.P.MSCP Mimi Young Sa, Psy.D., L.P., MSCP Minnesota Psychological Association 2014

2 The History of Prescription Privileges for Psychologists (RxP) 1991 Department of Defense Demonstration Project Trained 10 doctoral-level psychologists to prescribe psychotropics Of the original 10, 7 of them are still prescribing as part of their clinical practice with the military. The General Accounting Office (GAO) completed a comprehensive evaluation of the clinical practice of those 10 psychologists in 1999 and concluded they filled critical needs and performed with excellence wherever they served.

3 DoD Project As of the 1999 report, those 10 psychologists had treated over 169,000 patients with no reported adverse effects or deaths. There still have been no adverse effects or deaths reported against any prescribing psychologist with over 250,000 scripts written to date! Without exception, the physicians these psychologists worked with described them as good to excellent and phenomenal and that they were well trained and prescribing safely and effectively.

4 History of RxP- Cont. The first states to obtain prescription privileges for psychologists In 2002, the governor of the state of New Mexico signed the first state law allowing appropriately trained psychologists to prescribe psychotropic medications In 2004 the state of Louisiana passed a similar law; again allowing properly trained psychologists to prescribe psychotropic medications.

5 The Training Based on the DoD training model, The Council of Representatives of APA in 2007 approved Recommended Postdoctoral Education and Training Program in Psychopharmacology for Prescriptive Authority.

6 The Curriculum Neuroscience Anatomy, Physiology, Pathology Biochemistry Clinical Medicine Clinical Pharmacology Health Assessment Psychopharmacology

7 The Time The postdoctoral master of science in psychopharmacology includes 30 graduate credit hours Requires two- 100 hour practica under a physician (M.D. or D.O.) to include at least 100 supervised patient cases.

8 For Licensure Must complete the PEP Exam (Psychopharmacology Exam for Psychologists)- offered by the American Psychological Association College of Professional Psychology Also must complete 400 supervised hours under a physician with 100 patients reviewed

9 Limits of License Can only prescribe medications that are FDA approved for disorders listed in the DSM. Cannot treat pregnant women or individuals with cardiac conditions. MUST collaborate with primary care provider and inform him/her of your prescription choice and consider any concerns he/she may have.

10 Master of Science Training Programs in Psychopharmacology Farleigh Dickenson University in Hackensack, NJ Course work approved by APA and includes 5-15 week semesters over a two year period This program is completely on-line, does have instructors that provide weekly on-line chats with whole cohort online at the same time Does have a one week on-site practicum preparation program for those wanting to move on to licensure New Mexico State University in Las Cruces, NM APA approved coursework This program is partially live and partially web-based Alliant University in Fresno, CA APA approved coursework This is a distance program that takes 28 weeks and meets every third weekend

11 Why Get the Training When I Cannot Prescribe in MN? Opportunities for consultation Forensic settings Other prescribers in MN who live in remote areas or have very little mental health training This makes you marketable in the competitive job market Potentially helps bridge the gap of psychiatrists to patients that is so stunning in MN (only 600 psychiatrists in MN vs 4,000 psychologists).

12 Mary Pat Noonan, Ph.D., L.P. MSCP Ph.D., in clinical psychology from U of South Dakota, 1992 Post Doctoral Clinical Fellowship in Medical Psychology at Johns Hopkins Hospital in Baltimore, MD. Post Doctoral Masters degree in Clinical Psychopharmacology, Alliant University 2008 Licensed Psychologist in: Minnesota, Maryland, and the District of Columbia Board Certified in Clinical Psychology (ABPP).

13 Mary Pat Noonan, Ph.D., L.P., MSCP Current professional position Full time Clinical Psychologist, Health Partners - Neurosciences, Interventional Pain. Part time Clinical Psychologist, Emergency Behavioral Medicine Department, Maple Grove Hospital and North Memorial Medical Center. Psychodiagnostic assessment, consultation, and psychotherapy services to adults. Management of chronic pain & complex medical issues, dual diagnosis, medication compliance, sleep disorders, anxiety & mood disorders, trauma, and persistent mental illness.

14 Harlan Gilbertson, Psy.D., L.P., MSCP New Mexico State University, advanced psychopharmacology training, 2013-present. Master of Science in Psychopharmacology, Alliant University, 2010 Doctorate in clinical psychology, MSPP, 1997 Master of Science, Behavioral Analysis, SCSU, 1991

15 Harlan Gilbertson, Psy.D., L.P., MSCP Current Professional Activities Mora Psychological Associates, PLLC Provides forensic psychological services including diagnostic assessments and evaluations and expert court testimony; often with regard to the effects of psychotropics on individuals cases.

16 Mimi Young Sa, Psy.D., L.P., MSCP Master of Science in Clinical Psychopharmacology, Nova Southeastern, 2006 Doctorate of clinical psychology, MSPP, 2000 Master of Arts, clinical psychology, MSPP, 1998

17 Mimi Young Sa, Psy.D., L.P., MSCP Child and adolescent psychologist, Allina Health at Cambridge and North Branch facilities Previously worked for Indian Health Service in NM as prescribing psychologist

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