2014 Regional Integrated Mental Health Conference



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The American Psychiatric Association jointly sponsors the Indiana Psychiatric Society and The Kentucky Psychiatric Medical Association s 5 th Annual Regional Integrated Mental Health Conference. PROGRAMMING The delivery of mental health care is a rapidly changing landscape. Evidence suggests the integration of psychiatric care into the physical care setting is imperative in the treatment of those with mental illness. However, many psychiatrists, primary care physicians and other professionals are unsure how to best make this happen. Join us as we examine current cutting-edge research, evidence-based practices and models on integrated care. Explore the relationship between the mind and body, furthering your knowledge of the interplay between physical and psychiatric illness. Learn about the business of integrated care from national experts. Speakers will present a balanced program of lectures and case scenarios to improve your understanding of these issues. Join us! *SUNSHINE ACT IS NOT APPLICABLE TO THIS EVENT TARGETED AUDIENCES Psychiatrists, Primary Care Physicians, Physicians of Other Specialties, Mental Health Providers, Nurse Practitioners, Physician Assistants, and Hospitalists Atrium of the West Baden Springs Hotel site of the PRMS Welcome Reception, the exhibit hall, and registrant catering

CONFERENCE HOTEL French Lick, the Midwest s premier resort and casino destination, offers two luxury hotels, a 24-hour casino, three golf courses, 15 dining venues, and multiple recreation options on 3,000 acres of history and natural beauty. The West Baden Springs Hotel This hotel is an extraordinary experience. You will be captivated once you step foot inside this National Historic Landmark built in 1902. With its unique domed atrium spanning 200 feet, it has been called the "8th Wonder of the World." Rooms rise around the dome and balconies provide a panoramic view of the atrium. The West Baden Springs Hotel features: 243 luxury guest rooms and suites Natatorium housing indoor lap pool, spa, salon, and complimentary fitness center Championship-level golf courses Casual and fine dining options Exquisite retail shops Complimentary parking and valet service (fee) Complimentary high-speed wired and wireless internet Complimentary shuttle service to French Lick Springs Hotel & Casino, The Riding Stables, and golf courses Spa at the West Baden Springs Hotel Discounted guest room reservations: Discounts are available to conference participants staying at the West Baden Springs Hotel. It is the responsibility of the guest to make and pay for their reservation. Rates are available until March 18 or the room block is full. Be advised: this hotel has sold out the past three years and rooms will not be available at French Lick. We encourage you to make your reservation early. West Baden Springs Hotel: Single/double room $169.00 Thursday evening, April 10 Single/double room $199.00/night Friday and Saturday evenings, April 11 & 12 Single/double balcony room $229.00 Thursday evening, April 10 Single/double balcony room $249.00/night Friday and Saturday evenings, April 11 & 12 *Listed rates do not include applicable taxes. To make your reservation: Phone 888.936.9360 and use the group code 0414TRI Visit www.frenchlick.com and use the group code 0414TRI

FRIDAY PROGRAMMING (4.0 CME/CE) 12:00 8:30 PM Registration AGENDA 1:45-2:45 PM New Perspectives in Schizophrenia: From the Prodrome Through Ongoing Management Speaker to be named 2:45-3:30 PM 3:30 5:00 PM Addiction and the Integrated Care Patient Lon Hays, MD Chair, Department of Psychiatry, University of Kentucky, Lexington, KY 5:00-5:30 PM 5:30-7:00 PM Integrated Care: The National Perspective Saul Levin, MD - CEO & Medical Director, American Psychiatric Association, Arlington, VA 7:30 9:00 PM PRMS WELCOME RECEPTION Adults only. Complimentary for registrants, guest fee RSVP/advanced purchase required by 3/28/14. SATURDAY 7:30 8:25 AM Registration & complimentary continental breakfast 8:25 AM Welcome & introductions 8:30am 12:00pm Track 1 & 2 Programming will run concurrently LUNCHEON OPTIONS 12:00 1:15 PM Non-accredited luncheon in West Baden Atrium 12:15 1:15 PM Your Future in Psychiatry For Residents and Early Career Psychiatrists (1.0 CME/CE) John Wernert, MD, MHA President, Professional Development Associates, LLC, Carmel, IN Paul O Leary, MD - Clinical Director, Clinical Care South, Irondale, AL Julie Reed, JD General Counsel, Indiana State Medical Association, Indianapolis, IN

SATURDAY CONTINUED 1:25 PM Welcome & introductions 1:30 5:00pm Track 1 & 2 Programming will run concurrently 5:15 6:15 PM AMERICAN PSYCHIATRIC ASSOCIATION POLITICAL ACTION COMMITTEE RECEPTION Adults only. Complimentary for registrants and their guests. **REGISTRANTS WILL CHOOSE BETWEEN TRACK 1 & 2 PROGRAMMING SATURDAY ONLY. TRACK 1 PROGRAMMING (6.0 CME/CE ~ 7.0 CME/CE for Resident Luncheon Attendees) 8:30 9:15 AM Risks Management for Psychiatrists in Integrated Practice: Electronic Health Records and Telepsychiatry Charles David Cash, JD, LLM Asst. Vice President of Risk Management, Professional Risk Management Services, Arlington, VA 9:15 10:00 AM Update on Opiod Prescribing Law in Indiana and Kentucky Julie Reed, JD General Counsel, Indiana State Medical Association, Indianapolis, IN 10:00 10:30 AM 10:30 AM 12:00 PM Evolving Roles for Psychiatry in the Era of Health Reform Lori Raney, MD Medical Director, Axis Health System, Durango, CO 1:30 3:00 PM Psychiatry and Healthcare Reform Paul Summergrad, MD - President-elect, American Psychiatric Association; Dr. Frances S. Arkin Professor & Chairman, Department of Psychiatry; Professor of Medicine, Tufts University School of Medicine; Psychiatrist-in- Chief, Tufts Medical Center; Chairman, Tufts Medical Center Physicians Organization, Boston, MA 3:00 3:30 PM 3:30 5:00 PM New Roles for Psychiatrists in Systems of Primary Care John Kern, MD Chief Medical Officer, Regional Mental Health Center, Merrillville, IN

TRACK #2 PROGRAMMING (6.0 CME/CE ~ 7.0 CME/CE for Resident Luncheon Attendees) 8:30 10:00 AM Psychiatry and Healthcare Reform Paul Summergrad, MD 10:00 10:30 AM 10:30 AM 12:00 PM New Roles for Psychiatrists in Systems of Primary Care John Kern, MD 1:30 3:00 PM Evolving Roles for Psychiatry in the Era of Health Reform Lori Raney, MD 3:00 3:30 PM 3:30 5:00 PM Medical Home Transformation & Planned Coordinated Care Jeanne McAllister, BSN, MS, MHA Associate Research Professor of Pediatrics, Children s Health Service Research, Indiana University School of Medicine, Indianapolis, IN SUNDAY PROGRAMMING (4.0 CME/CE) 7:15-8:45 AM Registration & complimentary continental breakfast (in West Baden Atrium) 7:30-8:30 AM INCLUDES SPECIALTY BREAKFAST SPONSORED by AMERICAN PROFESSIONAL AGENCY, INC. in West Baden Room Risk Management Considerations When Treating Suicidal and Violent Patients Kristen Lambert, Esq, MSW, LICSW, FASHRM - Vice President Risk Management, AWAC Services, A Member Company of World, Boston, MA 8:45-10:15 AM Firearm Violence as a Psychiatric Concern Stephen Dunlop, MD President, Hoosiers Concerned About Gun Violence, Indianapolis, IN Steven Lippmann, MD Professor of Psychiatry, University of Louisville School of Medicine, Louisville, KY 10:15 10:45 AM 10:45 AM 12:15 PM Psychopharmacology of Perinatal Mood & Anxiety Disorders Amy Ricke, MD Psychiatrist, Indiana Health Group, Carmel, IN

EDUCATIONAL NEED Current situation: The delivery of mental health care is a rapidly changing landscape with the integration of psychiatric care into the physical care setting. Many psychiatrists and primary care physicians are unsure how to integrate their practices in an effort to provide quality, efficient service to their patients. Physicians need to explore existing models and gather tools for successful integration. Proposed changes: It is hoped that as a result of participating in this program, physicians will have an improved understanding of the importance of coordinated care and they will have improved collaboration with medical peers thereby improving patient care and quality of life. ACCREDITATION AND DISCLOSURE STATEMENTS Accreditation Statement: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of American Psychiatric Association (APA), the Indiana Psychiatric Society (IPS), and The Kentucky Psychiatric Medical Association (KPMA). The APA is accredited by the ACCME to provide continuing medical education for physicians. Designation Statement: The APA designates this live activity for a maximum of 14.0 PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Disclosure Statement: It is the policy of the APA to comply with the ACCME Standards for commercial support of CME. Planning committee members and related staff disclosures must be on file annually with disclosures made available on program materials. Faculty participating in sponsored or jointly sponsored programs by APA are required to disclose to the program audience any real or apparent financial relationships with commercial interests related to the content of their presentation. Faculty are also responsible for disclosing any discussion of off-label or investigational use of a product. After participating in this program, participants will: LEARNING OBJECTIVES develop an understanding of the important parts of a diagnostic interview for an alcohol use disorder. recognize the various neurotransmitter pathways involved in alcohol dependence. learn how to appropriately use the medications approved for the treatment of alcohol dependence. gain an understanding of the pertinence of integrated care to psychiatry. be able to identify what APA is doing at a policy level regarding integrated care and care collaboration. learn about the kind of educational resources and technical assistance APA has available for practicing psychiatrists. recognize the risks to patient safety and potential increase in liability exposure posed by certain features within EHR systems. be able to develop strategies to overcome system deficiencies and improve patient safety. be able to identify the factors that evidence the standard of care in telepsychiatry. be able to explain the need to contact state medical boards where patients treated remotely are located, if different from the state where the psychiatrists are located. be able to explain how the prescription drug abuse epidemic affects physicians. be able to explain existing state and federal laws on prescribing. be able to discuss the impact of changes to Indiana and Kentucky prescribing laws on doctors. appreciate the role of population management in the emerging collaborative care models and particular elements involved in this strategy.

LEARNING OBJECTIVES CONTINUED understand the need to enhance knowledge in general medical skills and how this can be utilized to foster communication and improve care of the seriously mental ill patient. recognize the developing models of collaborative care and understand how they apply to reducing disparities and improving the treatment of mental illness in the primary care setting. comprehend the role psychiatry plays in interventions in high utilizers of health care resources. appreciate the importance of measurement-based, 'treat to target' approaches. understand the numerous business challenges that should be addressed when starting practice. understand strategies for making pro-active decisions and business planning to insure successful practice. recognize skills necessary to transition from trainees to practicing as early career psychiatrists. be able to demonstrate knowledge of lessons learned from panel experts (i.e.: the do's and don'ts as they graduate from their residency program). be able to identify the challenges and rewards in psychiatry as they move up in their careers. be able to show how health care reform impacts physician employment. be aware of key contract terms and issues. be able to suggest ways to avoid contract pitfalls. be able to recognize changes associated with health care reform. understand common medical and psychiatric comorbidities. understand research challenges and opportunities. be able to describe common approaches to integrated care. learn the case for behavioral health services in primary care: access to psychiatric expertise and improvement of overall healthcare quality and finances understand the impact recent violent events may have on a clinician's liability exposure be able to discuss models of collaboration within integrated care and risk mitigation strategies when treating suicidal/violent actions. understand the types of claims brought against psychiatrist and other clinicians resulting from a patient's violent/suicidal actions. understand how to explore documentation principles when treating patients who are violent/suicidal. understand applicable state/national laws regarding "duty to warn", firearms violence prevention, and access to firearms by people with mental illness. be able to identify applicable risk management strategies to employ when a patient commits a high profile violent act. understand objective assessment of the increased risk for suicide in households with guns. understand the relationship of psychopathology to firearm homicide. understand psychiatry s role in addressing the public health risks of widespread firearm ownership to different groups in the community, young males in the inner city, women in homes with guns and others review the epidemiology, clinical presentation, and differential diagnosis of mood and anxiety disorders in pregnant and postpartum women to improve clinical recognition and management. be able to recognize the limitations of existing research in the perinatal population in order to better critically analyze the literature. be able to identify the general principles underlying the use of pharmacotherapy to treat women during pregnancy and lactation. apply up-to-date knowledge of specific medications to the treatment of perinatal patients to more safely use psychographics in this population. identify four essential elements to transformative change in primary care frame a model for integrative, planned care identify underlying principles for developing and using a share plan of care with patients and families use a standardized 10 step approach to the development of a plan of care

REGISTRATION FORM Three easy ways to register: *Online: Visit www.pdallc.com credit card payment only *Fax: Complete form with credit card information and fax to 888.477.9119 *Mail: Complete form, make check payable to IPS and mail to: Indiana Psychiatric Society P.O. Box 30413 Indianapolis, IN 46230 Confirmation of registration will be emailed within 24 hours of receipt. If you do not receive confirmation within 10 days of submission, contact Sara at lizgroupllc@yahoo.com or 888.477.9119. *Fill out form completely. Information will be kept confidential. PLEASE PRINT. Full name and degree (MD, DO, RN, etc.) Affiliation/category (ie: IPS, KPMA, APA, other) Email address Daytime phone number Registration fee includes CME/CE credits, online access to syllabus, PRMS Welcome Reception Friday evening (registrant only), continental breakfast Saturday & Sunday mornings, and Saturday luncheon. To receive the early bird rate, registration and payment must be received no later than January 10, 2014. To receive the regular rate, registration and payment must be received no later than February 28, 2014. Registrations received after February 28, 2014 will be subject to full price. Onsite registrations will incur a $25 charge above the highest rate if space is available. CANCELLATIONS: A 50% refund will be made on registration only if cancellation notification is made in writing and received by event staff by 03/14/14. No refunds or credits after 03/14/14. Registration *Circle one category (fee) Available until 1/10/14 1/11/14-2/28/14 3/1/14-4/1/14 Members of IPS, KPMA, and other APA district branches $215.00 $240.00 $265.00 Non-member physicians $295.00 $320.00 $345.00 Non-physician (ie: PhD, LCSW, RN, etc.) $230.00 $255.00 $280.00 APA Residents/MITs & medical students $75.00 $100.00 $125.00 APA Early Career Psychiatrists $190.00 $215.00 $240.00 Students $125.00 $150.00 $175.00 -continued-

Circle one option in each of the boxes to the right indicating registrant intentions. If no selection is made, you will be assigned and staff will assume you are not attending reception. Friday evening PRMS Welcome Reception Yes No Saturday Programming Track Preference Track 1 Track 2 Sunday Breakfast Preference Additional Purchase Options *Purchases non-refundable. Adults only. Standard Continental in Atrium Plated Accredited in West Baden Room Before 3/29/14 Printed syllabus will not be available for purchase on site $15.00 Syllabus on flash drive will not be available for purchase on site $7.50 Guest Friday Evening PRMS Welcome Reception $27.50 Guest Package A Friday Evening PRMS Welcome Reception and Saturday luncheon in West Baden Atrium Guest Package B - Friday Evening PRMS Welcome Reception, Saturday & Sunday continental breakfast & Saturday luncheon all in West Baden Atrium Resident scholarship donation $80.00 $145.00 Payment method: Circle one: Check Credit Card Amount included/to be charged: Name on credit card Billing address (include street number, street, city, state, zip) Phone number tied to credit card Credit card number Credit card expiration date Credit card security code (3 or 4 digit code on card)