Brian Jacks, M.D. Psychiatry

Brian Jacks, M.D. Psychiatry Psychiatric Evaluations in Multiple Locations: Beverly Hills: 9730 Wilshire Blvd $108, Beverly Hills, CA 90210 Fresno/Central Valley: 5100 North 6 th St #140, Fresno, CA 93710 Oakland/East Bay: 436 14 th St#1010, Oakland, CA 94612 Sacramento: 730 Alhambra Blvd #205, Sacramento, CA 95816 Mailing Address: 462 North Linden Dr #441, Beverly Hills, CA 90212 Education University of Toronto, Ontario, Canada, Premedicine, 1961-1963 University of Toronto, Ontario, Canada, Medical Doctor, 1963-1967 Internships Menninger Institute, Topeka, KS, Summer 1966 Vancouver General Hospital, Vancouver, British Columbia, Canada, 1967-1968 Residencies LAC USC Medical Center, Los Angeles, CA, Adult Psychiatry, 1968-1970 LAC USC Medical Center, Los Angeles, CA, Child Psychiatry, 1970-1972 LAC USC Medical Center, Los Angeles, CA, Chief Resident, 1971-1972 Board Certification American Board of Psychiatry and Neurology, Adult, 1974 American Board of Psychiatry and Neurology, Child and Adolescent, 1976 Appointed Qualified Medical Evaluator Industrial Medical Council, Division of Workers Compensation, 1991 Private Practice Private Practice in Beverly Hills, since 1976 Professional Appointments Part-Time Teaching Faculty, University of Southern California School of Medicine, since 1979 Past President, Southern California Society for Adolescent Psychiatry, 1982-1983 Past President, Southern California Society for Adolescent Psychiatry, 1983-1984 Professor of Clinical Psychiatry, University of Southern California, since 1995 Professional Activities Assistant Director, LAC USC Medical Center, Child / Adolescent Psychiatry Outpatient Services, 1972-1976 Ward Chief, 8AB Long-Term Intensive Adolescent Inpatient Services, 1976-1979 Director of Residency Training, Child / Adolescent Psychiatry, 1976-1979 Examiner for National Boards, Psychiatry and Neurology, 1978 Delegate Representative from Southern California, Regional Councils of American Academy of Child Psychiatry, 1979-1981 Member, Committee on Peer Review, Southern California Psychiatric Society, 1981 Peer Review Committee Member, Southern California Society of Child Psychiatry, 1985-1989 Chairman Committee on Child / Adolescent Psychiatry, Southern California Psychiatric Society, 1988

Brian Jacks, M.D. Psychiatry Professional Activities (cont d ) Examiner for National Boards, Child / Adolescent Psychiatry, 1991 Expert Medical Reviewer, Medical Board of California, May 1996 Professional Organizations Southern California Society for Child Psychiatry Southern California Psychiatric Society USC Psychiatric Alumni in Continuing Education California Society of Industrial Medicine American Psychiatric Association American Academy of Child Psychiatry American College of Forensic Examiners Presentations (partial list) Annual Lecturer, USC Forensic Psychiatry, Child Custody, 1987 to present Group Leader of Mock Orals, Child Board Preparation, American Academy of Child and Adolescent Psychiatry, 1989 to present Lecturer, Alcohol and Drug Abuse, Norton Medical Clinics, Department of Transportation, 1995 Lecturer, Fitness: Normal Developmental Differences between 14 and 16 Year Olds, Los Angeles County Public Defender, 1995 Publications (partial list) Jacks, B.P., M.D., and Russak, S., Malingering and Fraud in Psychiatric Workers Compensation Claims California Workers Compensation Enquirer, pp. 15-18, June 1994 Licensure State of California Medical-legal Issues Evaluated * Psychiatric Disorders including Anxiety, Depression, Panic Attacks, Personality Disorders, Post Traumatic Stress Disorder (PTSD), Stress, Substance Abuse, * Compensable Consequence Physical Mental Claims * Good Faith Personnel (ROLDA) Psychiatric Claims * Psychopharmacological Evidence Based Medical Treatment Determination * Employment Related Issues including Discrimination, Harassment * Competency & Sanity Evaluations * Psychiatric Suitability for Spinal Surgery * Psychiatric Evaluations for Predominant Cause & Substantial Cause Threshold * Psychiatric Determination for Fitness-for-Duty, Short/Long-Term Disability, Retirement Disability, Family Medical Leave Act (FMLA), Personal Injury IMEs

! ClinicalPsychology&Neuropsychology Evaluation!Offices! Sacramento:730AlhambraBlvd#205,Sacramento,CA95816 Fresno/Central!Valley:2377WShawAve#112,Fresno,CA93711 Bakersfield/Central!Valley:4900CaliforniaAve,TowerBN210,Bakersfield,CA93309 Stockton/Central!Valley:11S.SanJoaquinSt#701,Stockton,CA95202 Fremont/East!Bay:39210StateSt#100,Fremont,CA94538 San!Jose/South!Bay:111NorthMarketSt#300,SanJose,CA95113 San!Francisco/Peninsula:315MontgomerySt,8thFl,SanFrancisco,CA94104 Redding:1335BuenaventuraBlvd#206,Redding,CA96001! Mailing!Address!for!All!Correspondence 730AlhambraBlvd#205,Sacramento,CA95816 Specialization! Neuropsychological!Evaluations:Assessmentofneurocognitivedysfunctioninpersonswith suspectedcerebraldysfunctionduetoinjury,neoplasm,toxicity,drugabuse,cerebrovascular disorders,andothertrauma. Chronic!Pain,!Stress,!and!Disability!Evaluations:!QMEandAMEevaluationsfortheWorkers CompensationsystemoftheStateofCaliforniawithchronicpain,stress,anddisabilitypatients. Fitness!for!Duty!Evaluations:Assessmentofanemployee scapacitytoperformworkfunctions associatedwithspecificjobdescription,withorwithoutaccommodationunderadastandards. Gastric!Bypass!Evaluations:Assessmentofpsychologicalfitnessforbariatricsurgery. General!Psychological!Evaluations:Assessmentofintellectual,personality,andemotional functioning. Education! DoctorofPhilosophyinPsychology(Clinical),UniversityofKansas,Lawrence,December1972 MasterofArtsinPsychology(Clinical),UniversityofKansas,Lawrence,January1968 BachelorofArtsinPsychology(General),UniversityofCalifornia,SantaBarbara,June1966 Traineeships!and!Honors! VeteransAdministrationTraineeship,TopekaVeteransAdministrationCenter,Kansas, September1971toMarch1972 VeteransAdministrationTraineeship,WadsworthVeteransAdministrationCenter,Kansas, August1970toAugust1971 UniversityofKansas,DepartmentofPsychology,Honors&Distinction:ComprehensiveOral Examinations,Fall1970 SocialRehabilitationAdministrationTraineeship,U.S.DepartmentofHealth,Educationand Welfare,July1970 NominationtotheSocietyoftheSigmaXi,NationalResearchHonorary,Fall1970

ClinicalPsychology&Neuropsychology Traineeships!and!Honors!(cont d )! AmyLovemanNationalEssay&BookCollectionContest,SponsoredbytheSaturdayReview, FirstPlaceAward,Summer1966 EdwinCorleMemorialBookCollectionContest,SponsoredbyUniversityofCaliforniaSantaBarbara &Mrs.EdwinCorle,FirstPlaceAward,Spring1966! Board!Certifications!&!Licenses! BoardofPsychology,StateofCalifornia,November1973 QualifiedMedicalEvaluator,StateofCalifornia,November15,2002 BoardCertifiedinForensicTraumatology,AAETS,March25,2003 Contractors StateLicenseBoard,GeneralContractor,issuedNovember1999 Teaching!Experience! ChapmanUniversity,Sacramento,DepartmentofPsychology Position: AdjunctFaculty Courses: GraduateResearchandBibliographicMethods, IntroductiontoForensic Psychology,ResearchMethodsfortheBehavioralSciences,SeniorProject(2 semesterresearchcourse),psychologicalaspectsofterrorism,psychological Testing Dates: January2000to2004 NationalUniversity,Sacramento,DepartmentofPsychology Position: AdjunctFaculty Courses: IntroductiontoPsychology,IntroductiontoPsychopathology,Psychological Testing Dates: August1999to2002 UniversityofCalifornia,Davis,SacramentoMedicalCenter,DepartmentofPsychiatry,Divisionof ClinicalPsychology Position: AssistantClinicalProfessorofPsychiatry, Courses: SupervisionofPsychologyInterns,IntroductiontoNeuropsychology,TheHuman LifeCycle(Psychiatry400),Malingering,FactitiousDisorders,&Compensation Neurosis, Dates: 1978to1996 CaliforniaStateUniversity,Sacramento,DepartmentofPsychology Position: Lecturer Courses: AbnormalPsychology,IntroductiontoPsychologicalTesting,ThePsychologyof Dying Dates: 1974,1975,and1976

ClinicalPsychology&Neuropsychology ChapmanCollege,SacramentoExtension,DepartmentofPsychology Position: Instructor Courses: AbnormalPsychology,AdvancedPsychopathology, Introductionto Psychodiagnosis,IntroductiontoTestsandMeasurements,Psychodiagnostic Evaluation Dates: 1974,1975 UniversityofCalifornia,DavisCampus,DepartmentofHumanDevelopment Position: Lecturer Course: PsychopathologyofChildhood Dates: 1972 UniversityofKansas,Lawrence,DepartmentofPsychology Position: Instructor Course: GeneralPsychology Dates: 1969,1970 Position: TeachingAssistant Course: SomatopsychologyandRehabilitation Dates: 1970! Professional!Appointments! PrivatePracticeofClinicalPsychology,Sacramento,California Position: SelfNemployedclinician Activity: IME,QME,andAMEpsychodiagnostic,neuropsychological,andchronicpain evaluations,fitnessfordutyevaluations,generalpsychologicalevaluations. ForensicevaluationandtestimonyinWorkersCompensationandcivillaw. Dates: 1978topresent PsychologicalServicesInstitute,Sacramento,California Position: CoNDirector Activity: Dates: Administrationandsupervision.Psychodiagnosticevaluationsand neuropsychologicalassessment.family,groupandindividualpsychotherapyfor adults,adolescentsandchildren.biofeedbacktherapyandresearch.forensic evaluationsincivil,criminalandfamilylaw 1973to1978

ClinicalPsychology&Neuropsychology Professional!Appointments!(cont d )! SutterMemorialHospitalMentalHealthCenter,Sacramento,California Position: StaffPsychologist Services: OutpatientMentalHealthServiceandChildrensInpatientPsychiatricUnit Activity: Individual,groupandfamilypsychotherapy.Psychodiagnosticand neuropsychologicalassessment.crisisinterventionandpsychologicaltriage. Supervisionofstudenttrainees. Workwithterminallyillchildren Dates: 1972to1974 TopekaVeteransAdministrationHospital,Kansas Position: PsychologicalTrainee Activity: HalsteadNReitanBatteryforOrganicBrainDamage.Vietnamveteransgroup leader.individualpsychotherapyandpsychodiagnosticevaluations Dates: September1971toMarch1972 PacificTelephoneandTelegraphCompany,Sacramento,California Position: PsychologicalResearcher Activity: Employeeproductivityandsatisfaction Dates: Summer1966! Professional!Activities! AlliedHealthStaffMember,SutterCommunityHospitals AlliedHealthStaffMember,CPCSierraVistaHospital MedicalExecutiveCommittee,CPCSierraVistaHospital,BoardMember,July1986toFebruary1989 CommitteeonStandardsofHealthCare,CaliforniaStatePsychologicalAssociation,1978and1979 CaliforniaCouncilofClinicalPsychologySocieties,FoundingMember,ExecutiveBoardMember,1975 SacramentoSocietyofProfessionalPsychologists,FoundingMember,PastPresident,SecretaryNTreasurer& ExecutiveBoardMember,1974through1977 SacramentoAreaMentalHealthAssociation,CommunityFriendsOrganization,ProfessionalAdvisor, 1973through1975! Consulting! CaliforniaYouthAuthority,PrestonFacility Consultant: ClinicalNeuropsychological Dates: March1981 VeteransAdministrationClinic,Sacramento,California,PsychologyandPsychiatryService Consultant: SeriesonDiagnosisinNeuropsychology SeriesonDiagnosisandTreatmentofChronicPain SeriesonClinicalApplicationsofBiofeedback Dates: 1978through1980

! ClinicalPsychology&Neuropsychology Consulting!(cont d ) SacramentoCountyBarAssociation,FamilyPracticeCommittee Consultant: ChildCustodyandVisitation Dates: September1978 ArnoldHomesforChildrenandReNEdWest,Sacramento,California Consultant: ResidentialandDayTreatmentPrograms Dates: June1974toJune1976 SutterMemorialHospitalsMentalHealthCenter,Sacramento,California Consultant: GeneralMedicalNSurgicalFloors Dates: March1972toApril1974 CatholicSocialServices,NeumanCenter,Sacramento,California Consultant: PsychologicalServices Dates: August1973toApril1974 U.S.PublicHealthService,HuntingtonBeachandSacramento,California Consultant: GroupLeader Dates: February1973andMarch1973 SacramentoCityUnifiedSchoolDistrict,TitleIIIProject:EducationallyHandicapped Consultant: ProgramandCurriculum Dates: 1972! Professional!Organizations!&!Memberships! AmericanAcademyofExpertsinTraumaticStress AmericanPsychologicalAssociation CaliforniaLicensedPsychologists Association CaliforniaSocietyofIndustrialMedicineandSurgery SocietyoftheSigmaXi,NationalResearchHonorary! Lectures!&!Presentations! StateCompensationInsuranceFund,Redding,California Presenter: SBN899andDisabilityRatings2005andBeyond:Considerationsin DeterminingPhysicalandPsychiatricDisabilityRatings Date: March16,2005 UniversityofCaliforniaDavisMedicalCenter,DepartmentofPM&R,Sacramento,California Presenter: ProcessNeuropsychologicalTesting Date: November11,2004

ClinicalPsychology&Neuropsychology Lectures!&!Presentations!(cont d )! UniversityofCaliforniaDavisMedicalCenter,DepartmentofPM&R,Sacramento,California Presenter DisordersofSimulation Date: June09,2004 HopitalRobertDebre,Paris,France Presenter: DisordersofSimulation Date: October23,2003 PsychologsichesInstitutderUniversitätHeidelberg,Germany Presenter: ProcessPsychologicalTesting Date: October17,2003 CentralCaliforniaPsychiatricSocietyConference,Monterey,California Discussant: TheMindNBrainRelationship Date: March9N102002 CaliforniaStateUniversity,Sacramento,CounselingCenter Presenter: ProcessPsychologicalTesting Date: January11,2000 ProfessionalSchoolofPsychology,GraduateProgram,Sacramento,California Presenter: PersonalInjuryLawandthePsychologist Date: July26,1999 CentralCaliforniaPsychiatricSociety,AnnualContinuingEducationConference,Yosemite,California Presenter: PsychologicalTestingoftheWorkersCompensationPatient:Evaluationand TreatmentImplications Date: March4,1995 MedicalBoardofCalifornia,LaJolla,California Presenter: StatewideAdministrativeLawJudge(ALJ)SeminarsonClinicalPsychological Testing,OfficeofAdministrativeHearings(OAH) Date: November9,1994 MedicalBoardofCalifornia,Sacramento,California Presenter: AdministrativeLawJudge(ALJ)SeminarsonClinicalPsychologicalTesting, OfficeofAdministrativeHearings(OAH) Date: September26,1994

ClinicalPsychology&Neuropsychology Lectures!&!Presentations!(cont d )! PsychWestandMercyHealthCareSeminar,Sacramento,California Presenter: Kids,BrainsandLearningDisorders:AnIntroductiontotheNeuropsychology ofld Date: April28,1992 CalFarmInsuranceSeminarforAgentsandAttorneys,Sacramento,California Presenter: NeuropsychologicalAssessment,BackInjuries,andDisordersofSimulation Date: November21,1991 AssociationofEducationalTherapists,Sacramento,California Presenter: Kids,BrainsandLearningDisorders Date: October30,1991 SacramentoCountryDaySchool,InNserviceSeminar,Sacramento,California Presenter: Kids,BrainsandLearningDisorders Date: September12,1991 SutterPsychiatricCenter,GrandRounds,Sacramento,California Presenter: Kids,BrainsandLearningDisorders Date: September2,1991 KaiserNMartinezHospital,GrandRounds,Martinez,California Presenter: DisordersofSimulation:Malingering,FactitiousDisorders,andCompensation Neurosis Date: March5,1991 UniversityofCalifornia,SacramentoMedicalCenter,PsychiatryGrandRounds Presenter: DisordersofSimulation,PartII:Malingering,FactitiousDisorders,and CompensationNeurosis Date: October17,1990 SutterCenterforPsychiatry,GrandRounds,Sacramento,California Presenter: DisordersofSimulation:Malingering,FactitiousDisorders,and CompensationNeurosis Date: May10,1990 CapitolCityTrialLawyersAssociation,Sacramento,California Presenter: MalingeringandCompensationNeurosisinPersonalInjuryCases Date: March1990

ClinicalPsychology&Neuropsychology Lectures!&!Presentations!(cont d )! UniversityofCalifornia,SacramentoMedicalCenter,PsychiatryGrandRounds, Presenter: DisordersofSimulation,PartI:Malingering,FactitiousDisorders,and CompensationNeurosis Date: March1989 PeaceOfficersResearchAssociationofCalifornia(PORAC),Stockton,California Presenter: StressintheProfessionofPeace Date: August1988 YoloCountyMentalHealth,StaffInNservice,Broderick,California Presenter: NewDiscoveriesinNeuropsychology Date: February1987 SacramentoSocietyofProfessionalPsychologists,Sacramento,California Presenter: ComputerTestinginClinicalPsychology Date: February1987 SacramentoSocietyofProfessionalPsychologists,Sacramento,California Panel: OncomputersinPsychology Date: October1985 SacramentoCountyBarAssociation,CriminalLawSection Speaker: SexualMolestNDoChildrenLie? Date: 1985 CaliforniaContinuingEducationoftheBar,UniversityofCaliforniaExtension,Berkeley Panel: RepresentingParentsandChildreninCustodyProceedings Dates: March3and10,1984 AmericanRiverCollegePatronsClub,CommunityRecognitionDayLuncheon Speaker: BrainInjury,TheHiddenDisability Date: January1984 EasterSealSocietyforCrippledChildrenandAdults,StaffInNservice,Sacramento,California Presenter: NeuropsychologyandRehabilitation Date: December1983 MatherAirForceBaseMentalHealthCenter,StaffInNservice,Sacramento,California Presenter: SeminarinNeuropsychology Date: May1983

! ClinicalPsychology&Neuropsychology Lectures!&!Presentations!(cont d )! CentralCaliforniaRegionalOrganizationofChildandAdolescentPsychiatryandSutterCommunity Hospitals,Sacramento,California Workshop: DepressioninChildrenandAdolescents:RecentAdvances Presenter: UpdateonPsychologicalAssessment Date: April1983 UniversityofCalifornia,SacramentoMedicalCenter,PsychiatryGrandRounds Presenter: PracticalNeuropsychologyforMentalHealthClinicians Date: April1983 SutterMemorialHospital,Sacramento,California,PsychiatryRounds Facilitator: PsychologicalTesting Date: April1983 SacramentoSocietyofProfessionalPsychologists,California Presenter: NeuropsychologicalandForensicAspectsinaCaseofTraumaticPreNfrontal Damage Date: February1982 WomenLawyersofSacramento,California Presenter: ForensicNeuropsychology Date: March1982 RehabilitationProfessionalsofSacramento,California Presenter: EvaluatingandRehabilitatingtheHeadTraumaVictim Date: December1981 UniversityofCalifornia,SacramentoMedicalCenter,PsychiatryGroundRounds Presenter: TheForensicHandlingofaCaseofTraumaticPreNfrontalLobotomyas ViewedbyThreeMajorProfessionalsInvolvedintheLegalProceedings Date: April1981 SacramentoValleyPsychologicalAssociation Presenter: TheDSMNIIIDiagnosticSystem Date: March1981 UniversityofCalifornia,SacramentoMedicalCenter,ChildPsychiatryGrandRounds Presenter: ChildandAdolescentNeuropsychology Date: February1981

! ClinicalPsychology&Neuropsychology Lectures!&!Presentations!(cont d )! SutterMemorialHospital,Sacramento,California,MentalHealthSeminarSeries Presenter: NewDevelopmentsinNeuropsychology Date: February1981 UniversityofCalifornia,SacramentoMedicalCenter,DepartmentofPsychiatry,ClinicalPsychologyProgram Presenter: ProseminarinPrivatePractice Date: December1979 UniversityofCalifornia,SacramentoMedicalCenter,NeurosurgeryandNeurologyGrandRounds Presenter: NeuropsychologyNNPracticalApplications Date: October1979 SacramentoCountyBarAssociation,FamilyCourtServicesCommittee Panel: FamilyLawSeminar Date: January1979 CaliforniaStateUniversity,Sacramento,DepartmentofPsychology Presenter: IntroductiontoBiofeedbackTechnique Date: January1979 PlannedParenthoodAssociationofCalifornia,Sacramento Presenter: PsychologicalAspectsofAdolescentSexuality Date: April1978 CommunityHospitalofSacramento,GeneralMedicalStaffMeeting Presenter: OnDeath,DyingandMedicine Date: 1977 UniversityofCalifornia,SacramentoMedicalCenter,PhysicalMedicine&RehabilitationGrandRounds Presenter: NeuropsychologyNNitsRoleinPhysicalMedicineandRehabilitation Date: 1977 UniversityofCalifornia,SacramentoMedicalCenter,PsychiatryGrandRounds Presenter: PromisingNewDevelopmentsinBrainNBehaviorRelationships Date: 1977 CaliforniaStatePsychologicalAssociationConvention,LosAngeles,California Panel: PrivatePracticeNNMythsandRealities Date: 1977

! ClinicalPsychology&Neuropsychology Lectures!&!Presentations!(cont d )! SacramentoCityUnifiedSchoolDistrict,DepartmentofGuidanceandCounseling Presenter: PsychologicalandNeuropsychologicalEvaluations Date: December1976 AmericanSocietyforTrainingandDevelopment,Sacramento,California Presenter: BiofeedbackandStressReductionTechniques Date: September1976 CaliforniaStatePsychologicalAssociationConvention,Anaheim,California Panel: ClinicalPsychologyNNNewVistas,CommitmentsandResponsibilities Date: 1975 UniversityofCalifornia,SacramentoMedicalCenter,MentalHealthStaff,SouthTeam Presenter: BiofeedbackforStressRelatedandPsychosomaticDisorders Date: 1974 SutterMemorialHospital,Sacramento,California,MentalHealthSeminarSeries Presenter: SeminaronNeuropsychology Date: 1974 SutterMemorialHospital,Sacramento,California,MentalHealthSeminarSeries Presenter: SeminaronBehaviorModification Date: 1974 SutterMemorialHospital,Sacramento,California,MentalHealthSeminarSeries Panel: AlternativeApproachestotheTreatmentofAnxiety Date: 1974 SutterMemorialHospital,Sacramento,California,MentalHealthSeminarSeries Panel: AdvancedSeminaronBiofeedback Date: 1974 SutterMemorialHospital,Sacramento,California,MentalHealthSeminarSeries Panel: SeminaronBiofeedback, Date: 1973 WesternPsychologicalAssociationConvention,Anaheim,California Panel: ChildrensMentalHealthServicesNNViableandUsable Date: 1973

! ClinicalPsychology&Neuropsychology Lectures!&!Presentations!(cont d )! SutterMemorialHospital,Sacramento,California,MentalHealthSeminarSeries Panel: PsychologicalAssessmentNNUses,Abuses,andAddictions Date: 1972 SanJuanUnifiedSchoolDistrict,Sacramento,California,RioAmericanoHighSchoolParentsSeminar Panel: PsychologicalAspectsofAdolescence Date: October1972 UniversityofCalifornia,Davis,ContinuingEducationProgram Panel: SymposiumonDeathandDyingwithElizabethKüblerNRoss Date: August1972! Research!and!Publications Hutchinson,G.L.(2001).Disordersofsimulation:Malingering,FactitiousDisorders,and CompensationNeurosis.Madison,CT:InternationalUniversitiesPress/PsychosocialPress. Hutchinson,G.L.(1984).OntheLuriaNNebraskaBatterycontroversy:areplytoSpiers.Journalof ClinicalandConsultingPsychology,52:532N545,1984. Bell,N.W.Abramowitz,S.I.,Folkins,C.H.,Spenseley,J.,&Hutchinson,G.L.(1983).Biofeedback, briefpsychotherapy,andtensionheadache.headache,23:162n173. Hutchinson,G.L.(1973).SOPALSIS,asequentiallyNorderedprobabilityandlistNstructured interactivesystem:demonstrationofateachable,computerizedattitudeassessment technique.dissertationabstracts,xxxiv,no.16. Hutchinson,G.L.(1968).TheeffectsofbufferitemsinselectedselfNreportinventories.Lawrence, KS:UniversityofKansas(Mastersthesis). Hutchinson,G.L.(1966).Anassessmentofoutsideplantengineering.Sacramento,CA:Bell TelephoneSystem. Hutchinson,G.L.(1966).Theartoflegerdemain.SantaBarbara,CA:LibraryoftheUniversityof California. Hutchinson,G.L.,&Higgins,J.W.(1966).Theeffectsofbufferitemsonmanifestanxietyscale scores.santabarbara,ca:universityofcaliforniadepartmentofpsychology(research manuscript). Research!and!Publications!In!Progress:! Hutchinson,G.L.&Hutchinson,K.A.Disordersofsimulation:Practicalapplications.Madison,CT: InternationalUniversitiesPress/PsychosocialPress. Hutchinson,G.L.Shortstoriesforyoungchildren:AdevelopmentalapproachtoparentNchild communication. Hutchinson,G.L.&Hutchinson,K.A.AfieldguidetothepersonalitystylesofNorthAmerica. Hutchinson,G.L.Disapparation.

! ClinicalPsychology&Neuropsychology! Licensure! StateofCalifornia! AME*/QME/IME!MedicalWlegal!Issues!Evaluated! * PsychiatricDisordersincludingAnxiety,Depression,PanicAttacks,PersonalityDisorders,Post TraumaticStressDisorder(PTSD),Stress,SubstanceAbuse, * CompensableConsequencePhysical MentalClaims * GoodFaithPersonnel(ROLDA)PsychiatricClaims * PsychopharmacologicalEvidenceBasedMedicalTreatmentDetermination * EmploymentRelatedIssuesincludingDiscrimination,Harassment * Competency&SanityEvaluations * PsychiatricSuitabilityforSpinalSurgery * PsychiatricEvaluationsforPredominantCause&SubstantialCauseThreshold * PsychiatricDeterminationforFitnessNforNDuty,Short/LongNTermDisability,RetirementDisability, FamilyMedicalLeaveAct(FMLA),PersonalInjuryIMEs *! NeuropsychologicalAssessmentofneurocognitivedysfunctioninpersonswithsuspected cerebraldysfunctionduetoinjury,neoplasm,toxicity,drugabuse,cerebrovasculardisorders, andothertrauma *"Advertising"Disclaimer:" TheuseofthetermAME*referstothepastuseofMEDLinkphysiciansinthecapacityofanAgreed MedicalEvaluatorattherequestofreferringpartiesinthecommunity.Thereisnoclaimor representationthatanymedlinkdoctorhasanongoingappointmentasaname*perapplicable CaliforniaLaborCodeandRegulations.!

DIPLOMATE AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY Brian P. Jacks, M.D., F.A.A.C.P. PSYCHIATRY 9730 WILSHIRE BOULEVARD SUITE 108 BEVERLY HILLS, CA 90212 TELEPHONE (310) 274-0684 FAX (310) 274-5049 SB863 The Good, the Bad, and the Ugly WHAT WE KNOW: WHAT HAS CHANGED? Once upon a time, the Governor of California passed a Workers Compensation Reform Act and called it SB863. This happened because unscrupulous attorneys were taking advantage of the system by alleging bad faith psych, sex, and/or sleep claims. For DOI on/after 1/01/2013, SB863 says goodbye to WPI increases for Add-Ons of Sleep Dysfunction, Sexual Dysfunction, Psychiatric Disorder or any combination thereof that arises out of a compensable physical injury. As a result of these changes, all waste, fraud, and abuse were eliminated from the Workers Compensation System one can understand curtailing practice of alleging psych sleep/sex, and psyche on every application, for example, but problems arise when injured workers have unquestionable, disabling sleep/sex/psyche conditions as a result of their industrial injury and they lived happily ever after.but then, we have jumped ahead. A. HISTORY OF PSYCHIATRIC INJURIES IN CA: PROGRESSIVE CHANGE 1) 1982: Albertson s Decision: Causation: Worker s Subjective Perception of stress is sufficient to establish that the stress resulted from employment Employment must have played an Active Role in causing the mental injury (1%) Industry takes the employee as it finds him/eggshell Plaintiff-no apportionment to preexisting pathology or even preexisting Disability 2) 1989 Reform: 3208.3(b): Increases threshold for Causation of Psychiatric Injuries: Actual events of employment must constitute at least 10% of the causation for a compensable psychiatric injury

RE: SB863 Page 2 Worker s injury claim must be established by a preponderance of the evidence 1990/1991: 3208.3(a) Increases threshold for Causation of psychiatric injuries Must have a recognized diagnosis Must have worked for the employer for at least six months 3) 1993 Reform: AB 119 Increases threshold for Causation of Psychiatric Injuries: It is the intent of the Legislature is enacting this section to establish a new and higher threshold of compensability for psychiatric injury under this division. Actual events of employment must be the predominant cause of the injury Violent acts must be a substantial cause of the injury Limits on post-termination claims No comp for psychiatric injuries substantially caused by good faith personnel actions 4) 2004 Reform: SB899/Labor Code 4663/Escobedo: Limits on PD for all psychiatric injuries Apportionment of PD to Causation, excluding compensation for prior injuries, prior awards, prior disability, and preexisting pathology 5) 2013 Reform: SB863: Effective 1/01/2013, exclusion of additional PD for Physical-Mental claims as of 12/31/2012. PD for add-on psych injuries will be limited to catastrophic physical injury or where IW was a victim of, or a witness to a violent crime but can still comment on need for treatment for any of those conditions. B. SB863: LABOR CODE 4660.1 1) Statutory Language: Elimination of Sex, Sleep, Psych WPI for Compensable Claims

RE: SB863 Page 3 LC 4660.1 (c)(1) Except as provided in paragraph, there shall be no increases in impairment ratings for sleep dysfunction, sexual dysfunction, or psychiatric disorder, or any combination thereof, arising out of a compensable physical injury. Nothing in this section shall limit the ability of an injured employee to obtain treatment for sleep disorder, sexual dysfunction, or psychiatric disorder, if any, that are a consequence of an industrial injury. LC 4660.1(c)(2) Exception: An increased impairment rating for psychiatric disorder shall not be subject to paragraph (1) if the compensable psychiatric injury resulted from either of the following: Being a victim of a violent act or direct exposure to a significant violent act within the meaning of Section 3208.3 A catastrophic injury, including but not limited to, loss of a limb, paralysis, severe burn, or severe head injury 2) Statute Application LC 4660.1(c) only applies to: Specific injuries 1/01/2013 and after CT injuries ending 1/01/2013 and after 3) Legislative Intent SB863 Section I(b): The Legislature intends to eliminate questionable claims of disability when alleged to be caused by a disabling physical injury arising out of and in the course of employment while guaranteeing medical treatment as required by Division 4 (commencing with Section 3200) of the Labor Code. 4) Is there an Inherent Incongruence of LC 4610.1(c) PD to be based on the AMA Guides: For AMA impairments, doctors are supposed to take into consideration Activities of Daily Living (ADLs), which include sexual function and sleep In SB863 Section I, the Legislature explicitly indicates there is no intent to overrule Guzman that allows a doctor to consider any table/chart for accurate impairment.

RE: SB863 Page 4 So one question is, does LC 4660.1(c) disregard the ADLs of sexual function and sleep and disallow the use of certain AMA tables for disabled workers injuries? C. WHAT WE KNOW: WHAT HAS NOT CHANGED? 1) Treatment/Future Medical Care: LC 4660.1(c) explicitly allows for treatment of sleep dysfunction, sexual dysfunction, and psychiatric disorder for any compensable injury 2) TTD Benefits: SB 863 SectionI(b) discusses PD and LC 4660.1(c) references impairment ratings Since the statute and legislative intent are both silent regarding TTD benefits, it appears TTD benefits are available for sexual dysfunction, sleep dysfunction, and/or psychiatric disorder for any compensable industrial injury 3) Mental-Mental PD: Example: IW suffers harassment on the job and the good faith personnel action defense doesn t apply. IW receives compensable psychiatric impairment based on the GAF Scale for depression and anxiety But Psyche PD in mental-mental case isn t an increase in WPI it is the rating 4) Physical Injuries: Query: What is a physical injury: The most reasonable interpretation of the statute would be physical injuries do not include mental injuries But does physical only mean orthopedic injuries? What about internal, GI, or rheumatologic injuries or injuries rooted in neurologic problems that cause sleep dysfunction, sexual dysfunction and/or psychiatric PD?

RE: SB863 Page 5 Example: IW suffers from CRPS, which causes sleep problems and depression. Are the sleep and psych problems compensable? 5) Violent Acts: Psych PD for Violent Act or Catastrophic Injury 6) Physical Problems due to Psyche: PD for Physical manifestations of psych claim in form of sleep and/or sexual dysfunction Example: IW suffers from depression, second robbery victim and has PTSD. IW spends an increasing time lying in bed. As a result, IW gains weight and suffers from sleep apnea Would sleep dysfunction be due to the mental-mental injury and not a physical injury, so should sleep impairment be compensable? 7) Arise Out of Physical Injury: When does an impairment arise out of a physical injury? Primary injury and direct cause vs. compensable consequence mechanism of injury vs. result 8) For Labor Code 4662 Cases: Sleep, sexual dysfunction, and psychiatric disorder conditions could possibly still be relevant in assessing total permanent disability for LC 4662 cases Sleep/sex/psyche impairment(s) are not providing increases in ratings the only rating is permanent disability based on all the facts of the case D. SPECIAL ISSUES 1) Combination Cases: For example, cases of posttraumatic stress disorder and physical disorder or physical disorders plus work stress predominant causal threshold?

RE: SB863 Page 6 2) Catastrophic has not yet been defined therefore, open to interpretation; no guidelines yet. 3) Continuous trauma cases beginning before and extending after 1/2013: How to handle? What if inextricably intertwined physical and mental disorders? 4) Tactics for sleep disorder diagnoses and sexual dysfunction disorder diagnoses: Applicant attorney will not want a separate diagnosis because this is not compensable but will want to include it in the GAF score, which could therefore be increased; Defense attorney may want a separate sleep disorder impairment and separate sleep disorder diagnosis, separate sexual dysfunction disorder diagnosis removed from the GAF, so the GAF score will be less. This could on the other hand mean additional treatment costs. 5) Is major depressive disorder a physical or mental disorder? For: Neurotransmitters in the brain Measurable changes in the brain from PET scan Family psychiatric history on a genetic basis Versus: In the Diagnostic and Statistical Manual of Mental Disorders No agreed upon underlying physical basis to major depressive disorder 6) Drug/alcohol abuse following a physical disorder, is the drug abuse and alcohol abuse to be considered a physical result or consequence or psychological consequence?

RE: SB863 Page 7 7) DSM V use? -Does not include the GAF score for rating psychiatric disability, controversial still. -Change in DSM V from pain disorder to somatic symptom disorder: expands the diagnosis. -Pain disorder= pain complaints out of proportion to the objective clinical findings: -Somatic symptom disorder only includes one or more somatic symptoms that are distressing or result in significant disruption of daily life [and therefore does not have to be out of proportion to the underlying physical illness]. 8) As far as the focus on treatment: There probably would be an increased focus under the new laws. Make sure that ACOEM Guidelines are followed: For psychiatry, this only includes scientifically based, evidence based, national peerreviewed or accepted standards of treatment needs to be specified in detail. E.g. Star d study. Antidepressant medications can be expensive: brand names and new drugs versus generics and standards: For most cases, 80% of cases in fact, all antidepressants are equally effective for depression. BRIAN P. JACKS, M.D. Clinical Professor of Psychiatry, USC BPJ/ad/rsd