annual report - Psychiatry Home

THE UNIVERSITY OF NEW MEXICO SCHOOL
OF MEDICINE
DEPARTMENT OF PSYCHIATRY
ANNUAL REPORT
ACADEMIC YEAR 2012-2013
Mauricio Tohen,
M.D., Dr.P.H, M.B.A.
PROFESSOR, CHAIRMAN
DEPARTMENT OF PSYCHIATRY
1
THE DEPARTMENT OF PSYCHIATRY
ACADEMIC YEAR 2012-2013
MISSION STATEMENT ..........................................................................................................4
LETTER from the CHAIR .......................................................................................................5
FACULTY LISTING.................................................................................................................7
STAFF LISTING .......................................................................................................................9
FACULTY/STAFF SEPARATIONS .......................................................................................11
PUBLICATIONS .......................................................................................................................12
INSTITUTE for the DEVELOPMENT of EDUCATION and ADVANCEMENT
of SCIENCE (IDEAS) in PSYCHIATRY ................................................................................21
DIVISION of EDUCATION and RESIDENCY TRAINING ................................................22
•
Medical Student Education ...........................................................................................23
•
Residency Training Program ........................................................................................24
•
Continuing Education....................................................................................................26
•
Brief Therapy Training Clinic ......................................................................................27
UNIVERSITY of NEW MEXICO PSYCHIATRIC CENTER .............................................28
•
Inpatient Services ...........................................................................................................29
•
COPE Clinics ..................................................................................................................30
•
Recovery Resiliency Program ......................................................................................32
•
Psychiatric Emergency Services (PES) ........................................................................33
•
Spanish Speaking Clinic ................................................................................................34
•
Consultation Psychiatric Service ..................................................................................35
•
Geropsychiatry Services ................................................................................................36
UNIVERSITY PSYCHIATRY CONSULTANTS ..................................................................37
CENTER for NEUROPSYCHOLOGICAL SERVICES .......................................................38
DEVELOPMENTAL DISABILITIES (ADULT) and NEUROPSYCHIATRY .................39
ADDICTION PSYCHIATRY ...................................................................................................40
CENTER for RURAL and COMMUNITY BEHAVIORAL HEALTH (CRCBH) ............41
DIVISION of CHILD and ADOLESCENT PSYCHIATRY .................................................42
•
University Hospital Consult Liaison Psychiatry Service ...........................................43
2
ALBUQUERQUE VETERAN’S ADMINISTRATION MEDICAL CENTER...................44
DEPARTMENT RESEARCH COMMITTEE .......................................................................45
FACULTY GRANTS/AWARDS ..............................................................................................46
SIGNIFICANT PLANS and RECOMMENDATIONS .........................................................50
HIGHLIGHTS and MAJOR ACCOMPLISHMENTS for FY12-13 ....................................52
FACULTY/STAFF/RESIDENT ACCOMPLISHMENTS ....................................................54
3
THE UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
DEPARTMENT OF PSYCHIATRY
MISSION STATEMENT
The University of New Mexico School of Medicine Department of Psychiatry provides
excellent, innovative education for medical students, resident physicians, scientists, clinical
psychologists, and other health professionals. We endeavor to give the highest quality patient
care for New Mexicans suffering with severe and diverse mental illnesses as well as diligently
pursuing outstanding multidisciplinary research that helps solve important health problems.
We are committed to fostering an academic environment that is characterized by respect,
compassion, and evidence-based approaches in education, clinical care, and scholarship. We
seek to develop and perfect programs that foster and reward synergistic relationships among our
primary goals in education, clinical care, and research in the context of a dramatically changing
health care system.
4
LETTER from the CHAIR
MAURICIO TOHEN, M.D., DR.P.H., M.B.A.
PROFESSOR and INTERIM CHAIR
During the last year, the Department has seen tremendous changes. Foremost among these is the
successful completion of the search for a permanent chairman. Mauricio Tohen, M.D., Dr.P.H.,
M.B.A. assumed leadership of the Department in February 2013. Dr. Tohen is an internationally
recognized expert in Bipolar Disorders with numerous publications, scientific citations, and a
successful track record in obtaining research funding. He is a doctoral level trained
Epidemiologist who holds an MBA degree.
Our residency program earned an exceptionally positive ACGME site review this year. The
Department began work on creating an intern position for a community and rehabilitation
experience at the NMVAC and developing unique educational tracks to invite residents into
greater specificity over the course of their learning experience, with particular emphasis on
developing unique programs in rural psychiatry and research. The Psychiatry clerkship continued
to receive the highest marks from the UNM School of Medicine. Eight faculty members were
successfully promoted this year, further confirming the Department’s commitment to educational
excellence.
Research remains a high priority. Grants received totaled $9,875,618 with funding from National
Institute of Health, Centers for Biomedical Research Excellence, National Institute on Drug
Abuse, National Institute on Alcohol Abuse and Alcoholism, W.K. Kellogg Foundation,
Albuquerque Area IHS, New Mexico Health Services Department, the Mind Research Network
and several Native American pueblos. This year, the Department also received two PCORI
Awards. In addition, the Department earned a SAMHSA “National Child Traumatic Stress
Initiative, Category III, Community Treatment and Services Grant.” Through this grant, a clinic
has opened to treat childhood traumatic stress and faculty are training providers, especially those
working with urban Native Americans and military families, in effective screening methods.
Faculty researchers in the Department have actively sought to collaborate on projects in order to
leverage expertise and resources to the greatest extent possible to benefit the people of New
Mexico.
Clinical services expanded with the opening of the 12-bed inpatient geriatric unit at the new
UNM Sandoval Regional Medical Center. The University Psychiatric Center saw growth in
nearly all aspects of the practice, reflecting an increase in efficiency and updates to better align
services with the University Hospital and the needs of the state’s communities. The Inpatient
Service overall ran near full capacity. The Department also actively continued its support for the
new 10-bed geriatric psychiatry inpatient unit at the NMVAC. Plans were also underway to
relocate the Addiction and Substance Abuse Program (ASAP) to larger quarters to better serve
the community.
The Department remains strongly committed to community engagement through numerous
programs. In addition to running the largest community mental health center in the state, the
Department – though its Center for Rural and Community Behavioral Health – dedicates
resources to initiatives such as the Honoring Native Life initiative and the expansion of the
5
education series for providers in rural and tribal communities in partnership with IHS
Telebehavioral Health Center of Excellence. Public education on mental illness and substance
abuse is also the goal of the Department’s IDEAS in Psychiatry.
Under the leadership of its new chairman, the Department’s unending commitment to excellence
in all of its mission areas remains the highest goal. Our dedicated faculty and staff each day
strive through education, research, clinical service and community engagement to best benefit all
New Mexicans.
6
DEPARTMENT OF PSYCHIATRY FACULTY
ACADEMIC YEAR 2012-2013
(VAMC Faculty are listed in italics)
Adult Psychiatry:
Porterfield, Virginia, M.D.
Sadek, Joseph, Ph.D.
Stromberg, Shannon, M.D.
Thoma, Robert, Ph.D.
Weil, Elizabeth, M.D.
Professors:
Apfeldorf, William, M.D., Ph.D.
Bogenschutz, Michael, M.D.
Bustillo, Juan, M.D.
Campbell, Richard, Ph.D.
Cañive, José, M.D.
Escalona, Patricio, M.D.
Fawcett, Jan, M.D.
Haaland, Kathleen, Ph.D.
Katzman, Jeffrey, M.D.
Nurnberg, George, M.D.
Ortiz, Irene, M.D.
Reeve, Alya, M.D.
Silverblatt, Helene, M.D.
Tohen, Mauricio, M.D., Dr.P.H., M.B.A.
Villarreal, Gerardo, M.D.
Research Associate Professors:
Brave Heart, Maria Yellow Horse, Ph.D.
Crisanti, Annette, Ph.D.
Hensley, Paula, M.D.
Visiting Associate Professors:
McCarty, Teresita, M.D. (Emeritus)
Assistant Professors:
Abbott, Christopher, M.D.
Arenella, Pamela, M.D.
Bhatt, Snehal, M.D.
Bonham, Caroline, M.B.B.S.
Borrell, Gary, M.D.
Brodsky, Aaron, M.D.
Brown, Carl, M.D.
Carty, John, M.D.
Castillo, Diane, Ph.D.
Coberly, Robert, M.D.
Duhigg, Daniel, D.O.
Forcehimes, Alyssa, Ph.D.
Kelly, Patricia, M.D.
Khafaja, Mohamad, M.D.
Khan, Fazal, M.D.
Levensky, Eric, Ph.D.
Lin, Denise, M.D.
Nickell, Samuel, M.D.
Quinn, Davin, M.D.
Rodriguez, Peggy, M.D.
Rol, Maurits, M.D.
Schimming, Corbett, M.D.
Teufel, Joanna Asia, M.D.
Trevino, Christina, M.D.
Vukadinovic, Zoran, M.D.
Visiting Professor:
Abbott, Patrick, M.D. (Emeritus)
Keith, Samuel, M.D. (Chair Emeritus)
Visiting Research Professor:
Hough, Richard, Ph.D. (Emeritus)
Associate Professors:
Abrams, Swala, M.D.
Bohan, Juliane, M.D.
Bolton, Jonathan, M.D.
Clarke, Gray, M.D.
Cruz, Mario, M.D.
Dellmore, Deborah, M.D.
Dunn, Jeffrey, M.D.
Fallon, Stephanie, M.D.
Franchini, R. Gregory, M.D. (Emeritus)
Fraser, Kathryn, M.D.
Geppert, Cynthia, M.D., Ph.D.
Hill, Dina, Ph.D.
Lewis, Stephen, M.D.
Lisansky, Edgar Jonathan, M.D.
Parish, Brooke, M.D.
7
Wang, Dora Linda, M.D.
Wilcox, Claire, M.D.
Visiting Scholar:
Barbosa, Paulo, Ph.D.
Research Assistant Professors:
Altschul, Deborah, Ph.D.
Isakson, Brian, Ph.D.
Salvador, Julie, Ph.D.
Smart, Lindsay, Ph.D.
Postdoctoral Fellows
Chen, Yuhan
Straits, Jill
Child Psychiatry
Assistant Professors
Carroll, Scott, M.D.
Clawson, Diane, D.O.
Cullen, Chandra, M.D.
Del Fabbro, Anilla, M.D.
De Silva, Gayani, M.D.
Kriechman, Avron, M.D.
Mancuso, Darren, D.O.
Naranjo, Sergio, Ph.D.
Pentz, Judith, M.D.
Ramirez-Moya, Lorerky, M.D.
Professors:
Adelsheim, Steven, M.D.
Bailey, Robert, M.D.
Belitz, Jerald, Ph.D.
Graeber, David, M.D.
Kaven, Mary, Ph.D.
Mullen, David M.D.
Associate Professors
Bereiter, Jeanne, M.D.
Jaiswal, Anju, M.D.
King, Cynthia, M.D.
Sabu, Rashmi, M.D.
Sigl, Donna, M.D.
Vargas, Luis, Ph.D.
Visiting Assistant Professor
Crumley, Kenneth, M.D.
O’Brien, Teresa, M.D.
Parks, Lauren, Ph.D.
Lecturer III:
Faulkner, Martha, C.F.N.P., L.I.S.W., R.N.
8
DEPARTMENT of PSYCHIATRY STAFF
ACADEMIC YEAR 2012-2013
Baca de Holguin, Joanne
Baxter, Erika
Bell-Peña, Kathleen
Bernally-Russell, Tisa
Biehl, Tara
Bigelow, Rose
Bird, Doreen
Brambilia, Artemio
Cano-Soto, Flor
Castillo, Rebecca
Chapman, Andrea
Chen, Hongji
Cochise, Tazalynn
Coletta, Ernest
Cook, Carita
Cordova, Gilbert
Davidson, Mary
Drapeau, Cheryl
Dunnum, Jacqueline
Freeman, Marsha
Gallegos, Patrick
Garcia, Joanna
Gomez, Richard
Gurule, Geraldine
Haley, Mary
Hayes, Bernice
Howell, Breannan
Houghton, Cindy
Hunter, Michael
Ingalls, Tracy
Iturralde, Veronica
Jallad, Abraham
Jaramillo, Ashley
Jones, Thomas
Kincaid, Debra
Kostroski, Kathryn
Kushner, Robert
Lemke, Nicholas
Lesansee, Sheri
McGirk, Lindsay
Migliorati, Margarate
Monarco, Harlan
Montgomery, Leslie
Administrative Assistant III
HS Research Tech I
Program Specialist
HS Research Tech I
Senior Program Manager
Research Assistant
Community Based Research Specialist
Senior Clinical Psychologist
Program Coordinator
On-Call HS Research Tech I
Med Residency Coordinator
Analyst Programmer III
HS Research Tech I
Senior Program Manager
Personnel Coordinator
Unit Information Services Support Analyst
Program Coordinator
Administrative Assistant II
Administrative Assistant II
Grants Coordinator
Research Coordinator
Accountant III
Pharmacy Manager
Administrative Assistant II
Curriculum Development Coordinator
Senior Program Therapist
Research Coordinator
On-Call HS Research Tech I
Research Coordinator
Events Planner
Senior Fiscal Service Tech
HS Research Tech I
Research Coordinator
On-Call Analyst/Programmer I
Administrative Assistant II
HS Research Tech I
Research Scientist III
HS/Associate Scientist I
Program Manager
Administrative Assistant III
Senior Program Therapist
HS Research Tech I
Medical Practice Specialist
9
Moreno, Jose
Noskin, Pari
Pasena, Samantha
Partridge-Griffith, Erika
Pyeatt, Clinton
Rivera-Kamps, Judith
Rombach, Laura
Saenz, Laura
Salvador, Melina
Sandoval, James
Schenkel, Linda
Sedillo, Antanette
Thomas, Sarah
Villa, Azucena
Watson, Barbara
Wootton, Cassandra
Wychoff, Lee
On-Call HS Research Tech I
Program Manager
On-Call HS Research Tech I
Research Coordinator
Program Manager
Medical Residency Coordinator
Sr. Program TherapisT
On-Call HS Research Tech I
Associate Scientist III
Accountant II
Program Manager
Administrative Assistant III
Clinical Department Administrator II
Operations Manager
Accountant III
Research Coordinator
HS Research Tech I
10
DEPARTMENT of PSYCHIATRY SEPARATIONS
FACULTY and STAFF
ACADEMIC YEAR 2012-2013
Faculty:
Barbosa, Paulo, Ph.D.—2/28/2013
Borrell, Gary, M.D.—10/8/2012
De Silva, Gayani, M.D.—12/31/2012
Hough, Richard, Ph.D.—3/31/2013
Kelly, Patricia, M.D.—9/21/2012
Mancuso, Darren, D.O.—3/8/2013
O’Brien, Teresa, M.D.—6/30/2013
Ortiz, Irene, M.D.—7/31/2012
Parish, Brooke, M.D.—11/1/2012
Parks, Lauren, Ph.D.—9/30/2012
Schimming, Corbett, M.D.—4/5/2013
Straits, Jill, Ph.D. —8/8/2013
Staff:
Belmares-Ortega, Carolina —2/4/2013
Bernally-Russell, Tisa —6/14/2013
Chen, Hongji —7/16/2012
Fisher, Charity —6/6/2013
Granados, Michaela —6/2/2013
Hunter, Michael —7/16/2012
Jaramillo, Ashley —5/24/2013
Kincaid, Debra —8/3/2012
Kushner, Robert —8/31/2012
Monarco, Harlan —2/28/2013
Partridge-Griffith, Erika —11/2/2012
Rocha, Ana —1/22/2013
Salvador, Melina —6/28/2013
Sandoval, James —10/5/2012
11
DEPARTMENT of PSYCHIATRY
FACULTY PUBLICATIONS
ACADEMIC YEAR 2012-2013
General Psychiatry
Abbott, Christopher
Abbott C, Lemke N, Gopal S, Thoma R, Bustillo J, Calhoun V, Turner J. Electroconvulsion
therapy response in major depressive disorder: a pilot functional network connectivity resting
state fMRI investigation. Frontiers in Neuropsychiatric Imaging and Stimulation. 4:10: 2013 doi:
10.3389/fpsyt.2013.00010
Diaz N, Khafaja K, Gallegos P, Thoma R, Abbott C. A longitudinal pilot investigation of
neuropsychological performance associated with electroconvulsive therapy in late-life
depression.. American Association of Geriatric Psychiatry. 2013
Quinn D, Rees C, Brodsky A, Deligtisch A, Evans D, Khafaja M, Abbott C. Catatonia after deep
brain stimulation successfully treated with right unilateral electroconvulsive therapy: a case
report. Journal of ECT. 2013 doi: 10.1097/YCT.0b013e31829e0afa
Abbott C, Jaramillo A, Wilcox C, Hamilton D. Antipsychotic drug effects in schizophrenia: a
review of longitudinal fMRI investigations and neural interpretations. Current Medicinal
Chemistry. PMID: 23157635: 2012
Abbott C, Lemke N Gopal S, Thoma R, Bustillo J, Calhoun V, Turner J. Electroconvulsive
therapy response in major depressive disorder: a pilot functional network connectivity resting
state fMRI investigation. ACNP. 2012
Abrams, Swala
Frank M Ralls MD and Swala K Abrams MD. Sleep and Mental Illness. Journal of Clinical
Sleep Medicine. 8:463-464, 2012 http://dx.doi.org/10.5664/jcsm.2054
Apfeldorf, William
Diaz NA, Apfeldorf WJ. A woman with diabetes mellitus complicated by insulin antibody
interactions. Psychiatric Annals. 42(4):117-121, 2013
Arenella, Pamela
Bogenschutz MP, Arenella P. Substance Use Disorders and Schizophrenia. Lauriello J Pallanti S.
Clinical Manual of Schizophrenia1. Arlington, VA: American Psychiatric Publishing Inc. 261290, 2012
Bhatt, Snehal
Tobia A, Bhatt S, Grigo H, & Katsamanis M. Teaching Housestaff to Enhance Student
Education With the Use of Fantasy Sports (THESEUS).. Academic Psychiatry. Vol 37, No 1:6062, 2013 doi:10.1176/appi.ap.11100182
Venner KL, Greenfield BL, Vicuna, Munoz R, Bhatt S and O’Keefe V. “I’m not one of them”:
barriers to help-seeking among American Indians with alcohol dependence.. Cultural Diversity
and Ethnic Minority Psychology. 18(4):352-362, 2012 doi:10.1037?a0029757
12
Bogenschutz, Michael
Houck JM, Forcehimes AA, Guitterrez ET, Bogenschutz MP. Test-Retest Reliability of SelfReport Measures in a Diagnosed Sample. Substance Use Misuse. 48(1-2):99-105, 2013
Wilcox C, Bogenschutz MP. Pharmacotherapies for Alcohol and Drug Use Disorders. McCrady
BS Epstein EE. Addictions: A Comprehensive Guidebook2nd. New York, NY: Oxford
University Press. 2013
Wilcox C, Bogenschutz MP, Nakazawa M, Woody G. Concordance Between Self-Report and
Urine Drug Screen Data in Adolescent Opioid Dependent Clinical Trial Participants. Addictive
Behaviors. 38:2568-2574, 2013
Bogenschutz MP. Studying the Effects of Classical Hallucinogens in the Treatment of
Alcoholism: Rationale Methodology and Current Research with Psilocybin Current Drug Abuse
Reviews. Epub.:2013
Lizarraga C, Forcehimes AA, Bogenschutz MP. Themes in brief intervention sessions with
substance-using emergency department patients: interventionists' perspectives. College on
Problems of Drug Dependence 2013 Abstract Book. 91, 2013
http://www.cpdd.vcu.edu/Pages/Meetings/CPDD13AbstractBook.pdf
Bogenschutz MP, Arenella P. Substance Use Disorders and Schizophrenia. Lauriello J Pallanti S.
Clinical Manual of Schizophrenia1. Arlington, VA: American Psychiatric Publishing Inc. :261290, 2012
Barbosa PCR, Mizumoto S, Bogenschutz MP and Strassman RJ. Health status of ayahuasca
users. Drug Testing and Analysis. 4(7-8):601-609, 2012 doi.10.1002/dta.1383
FitzGerald C, Martinez M, Garcia D, Crandall C, Forcehimes AA, Bogenschutz MP. Providing
brief addictions treatment in an emergency department: experiences of University of New
Mexico Hospital research interventionists in the SMART-ED trial. College on problems of Drug
Dependence. 2012 Abstract Book: 45, 2012
http://www.cpdd.vcu.edu/Pages/Meetings/CPDD12AbstractBook.pdf
Forcehimes AA, Bogenschutz MP, Donovan DM, Crandall C, Lindblad R, Mandler R, Perl HI,
Walker R. Implementing addiction treatment trials in medical settings in the national institute on
drug abuse clinical trials network. College on problems of Drug Dependence. 2012 Abstract
Book: 45, 2012 http://www.cpdd.vcu.edu/Pages/Meetings/CPDD12AbstractBook.pdf
Worth LM, Forcehimes AA, Bogenschutz MP, Chavez R, Perl HI, Mandler R. Recruitment and
retention strategies for drug addiction research based in medical EDs. College on problems of
Drug Dependence. 2012 Abstract Book:180, 2012
http://www.cpdd.vcu.edu/Pages/Meetings/CPDD12AbstractBook.pdf
Bogenschutz MP and Pommy JM. Therapeutic mechanisms of classic hallucinogens in the
treatment of addictions: from indirect evidence to testable hypotheses. Drug Testing and
Analysis. 4(7-8):543-555, 2012 doi.10.1002/dta.1376
Donovan DM, Bogenschutz MP, Perl H, Forcehimes A, Adinoff B, Mandler R, Oden N and
Walker R. Study design to examine the potential role of assessment reactivity in the Screening,
13
Motivational Assessment, Referral, and Treatment in Emergency Departments (SMART-ED)
protocol. Addiction Science and Clinical Practice. 7(1):16, 2012
Warden D, Subramaniam GA, Carmody T, Woody GE, Minhajuddin A, Poole SA, Potter J,
Fishman M, Bogenschutz M, Patkar A and Trivedi MH. Predictors of attrition with
buprenorphine/naloxone treatment in opioid dependent youth. Addictive Behaviors. 37(9):10461053, 2012 doi: 10.1016/j.addbeh.2012.04.011
Houck JM, Forcehimes AA, Gutierrez ET, Bogenschutz MP. Test-Retest Reliability of SelfReport Measures in a Dually Diagnosed Sample. Substance Use and Misuse. Epub.: Oct. 25,
2012: Epub. 2012
Bogenschutz MP. Effects of psilocybin in the treatment of addictions: a review and preliminary
results from two ongoing trials. Neuropsychopharmacology. 38:S15-S16, 2012
Bohan, Julianne
Komaromy M, Buser R, Silver H, Hayes L, Bohan J, Duhigg D, Mount BK, Block J, Weiss J and
Cianciabella S. New Mexico Treatment Guidelines For Medical Providers Who Treat Opioid
Addiction Using Buprenorphine. Educational Manual for Physicians: authored sections on
buprenorphine vs methadone in pregnancy 2012 http://bhnm.org/wpcontent/uploads/2012/09/buprenorphine-guidelines-web-revised.pdf
Bohan J. The New Mexico Board of Pharmacy’s Prescription Monitoring Program. New Mexico
Chapter of the American Academy of Family Physicians (NMAFP): The Roadrunner. 31(3):8,
2012 http://www.familydoctornm.org/documents/NewsletterFall2012.pdf
Bonham, Caroline
Avron Kriechman and Caroline Bonham. Telemental health in primary care. Myers & Turvey.
Telemental health: clinical, technical, and administrative foundations for evidence based
practice1. Elsevier. 2012
Brodsky, Aaron
Quinn D, Rees C, Brodsky A, Deligtisch A, Evans D, Khafaja M, Abbott C. Catatonia after deep
brain stimulation successfully treated with right unilateral electroconvulsive therapy: a case
report. Journal of ECT. 2013 doi: 10.1097/YCT.0b013e31829e0afa
Bustillo, Juan
Abbott C Lemke N Gopal S Thoma R Bustillo J Calhoun V Turner J. Electroconvulsion therapy
response in major depressive disorder: a pilot functional network connectivity resting state fMRI
investigation. Frontiers in Neuropsychiatric Imaging and Stimulation. 4:10:, 2013 doi:
10.3389/fpsyt.2013.00010
Yeo RA, Gangestad SW, Liu J, Ehrlich S, Thoma R, Pommy J, Mayer AR, Schultz SC,
Wassinick TH, Morrow EM, Bustillo JR, Sponheim Ho BC and Calhoun VD. The impact of
copy number deletions on general cognitive ability and ventricle size in patients with
schizophrenia and health control subjects. Biological Psychiatry. 73(6):540-5, 2013
doi:10.1016/j.biopsych.2012.10.013
14
Yu Han, Chen Y, Edgar C, Huang M, Hunter M, Epstein E, Howell B, Lu B, Bustillo J, Miller G
and Canive J. Frontal and superior temporal auditory processing abnormalities in schizophrenia.
NeuroImage: Clinical. 2:695-702, 2013
Sui J, He H, Yu Q, Chen J, Rogers J, Pearlson G, Mayer A, Bustillo J, Canive J and Calhoun V.
Combination of Resting fMRI DTI and SMRI Data to Discriminate Schizophrenia by N-way
MCCA=jICA. Front Human Neuroscience. 7:235, 2013 doi: 10.3389/fnhum.2013.00235
Heckers S, Barch DM, Bustillo J, Gaebel W, Gur R, Malaspina D, Owen MJ, Schultz S, Tandon
R, Tsuang M, Van Os J and Carpenter W. Structure of the psychosis disorders classification in
DSM-5. 2013 doi:pii:S0920-9964(13)00255-7
Barch DM, Bustillo J, Gaebel W, Gur R, Heckers S, Malaspina D, Owen M, Schultz S, Tandon
R, Tsuang M, Van Os J and Carpenter W. Logic and Justification for Dimensional Assessment of
Symptoms and Related Clinical Phenomena in Psychosis. Schizophrenia Research. 2013
doi:pii:S0920-9964(13)00227
Malaspina D, Owen MJ, Heckers S, Tandon R, Bustillo J, Schultz S, Barch DM, Gaebel W, Gur
RE, Tsuang M, Van Os J and Carpenter W. Schizoaffective Disorder in the DSM-5. 2013 doi:
pii:S0920-9964(13)00226-0
Gollub RL, Shoemaker JM, King MD, White T, Ehrlich S, Sponheim SR, Clark VP, Turner JA,
Mueller BA, Magnotta V, O'Leary D, Ho BC, Brauns S, Manoach DS, Seidman L, Bustillo JR
Lauriello J, Bockholt J, Kim KO, Rosen BR, Schulz SC, Calhoun VD and Andreasen NC. The
MCIC Collection: A Shared Respository of Multi-Modal, Multi-Site Brain Image Data From a
Clinical Investigation of Schizophrenia. Neuroinformatics. 11:367-388, 2013 doi:
10.1007/s12021-013-9184-3
Stephen JM, Coffman BA, Jung RE, Bustillo JR, Aine CJand Calhoun VD. Using Joint ICA to
Link Function and Structure Using MEG and DTI in Schizophrenia. Neuroimage. 83C:418-430,
2013 doi: 10.1016/j.neuroimage.2013.06.038
Tandon R, Gaebel W, Barch DM, Bustillo J, Gur RE, Heckers S, Malaspina D, Owen MJ,
Schultz S, Tsuang M, Van Os J and Carpenter W. Definition and Description of Schoizophrenia
in the DSM-5. Schizophrenia Research. 2013 doi:ppi:S0920-9964(13)00283-1
Tandon R, Heckers S, Bustillo J, Barch DN, Gaebel W, Gur RE, Malaspina D, Owen MJ,
Schultz S, Tsuang M, Van Os J and Carpenter W. Catatonia in DSM-5. Schizophrenia Research.
2013 doi: pii:S0920-9964(13)00234-X
Liu J, Chen J, Ehrlich S, Walton E, White T, Perrone-Bizzozero N, Bustillo J, Turner JA and
Calhoun VD. Methylation Patterns in Whole Blood Correlate with Symptoms in Schizophrenia
Patients. Schizophrenia. EPub: 2013 PMID:23734059
Tsuang MT, Van Os J, Tandon R, Barch DM, Bustillo J, Gaebel W, Gur RE, Heckers S,
Malaspina D, Owen MJ, Schultz S, Carpenter W. Attenuated psychosis syndrome in DSM-5.
Schizophrenia Research. 2013 doi: pii:S0920-9964(13)00259-4
Bustillo J, Galloway MP, Ghoddoussi F, Bolognani F and Perrone-Bizzozero N. Medial-frontal
cortex hypometabolism in chronic phencyclidine exposed rats assessed by high resolution magic
15
angle spin 11.7 T proton magnetic resonance spectroscopy. International Journal of
Neurochemistry. 61(1):128-131, 2012 doi: 10.106?j.neuint.2012.04.003
Hanlon FM, Houck JM, Klimaj SD, Caprihan A, Mayer AR, Weisend MP, Bustillo JR, Hamilton
DA and Tesche CD. Fronto-temporal anatomical connectivity and working relational memory
performance predict everyday functioning in schizophrenia. Biological Psychiatry. 49(10):13401352, 2012 doi: 10.1111/j.1469-8986.2012.01448.x
Abbott C Lemke N, Gopal S, Thoma R, Bustillo J, Calhoun V, Turner J. Electroconvulsive
therapy response in major depressive disorder: a pilot functional network connectivity resting
state fMRI investigation. ACNP. 2012
Canive, Jose
Sui J, He H, Yu Q, Chen J, Rogers J, Pearlson G, Mayer A, Bustillo J, Canive J and Calhoun V.
Combination of Resting fMRI DTI and SMRI Data to Discriminate Schizophrenia by N-way
MCCA=jICA. Front Human Neuroscience. 7:235, 2013 doi: 10.3389/fnhum.2013.00235
Yu Han, Chen Y, Edgar C, Huang M, Hunter M, Epstein E, Howell B, Lu B, Bustillo J, Miller G
and Canive J. Frontal and superior temporal auditory processing abnormaities in schizophrenia.
NeuroImage: Clinical. 2:695-702, 2013
Castillo, Diane
Wolf E J, Miller M W, Reardon A F, Ryabchenko K A, Castillo D T and Freund R A. Latent
Class Analysis of Dissociation and PTSD: Evidence for a Dissociative Subtype. Archives of
General Psychiatry. 69(7):698-705, 2012 doi:10.1001/archgenpsychiatry.2011.1574
Castillo D T, C’de Baca J, Qualls C and Bornovalova MA. Group Exposure Therapy Treatment
for Post-traumatic Stress Disorder in Female Veterans. Military Medicine. 177(12):1486-1491,
2012
Cruz, Mario
Cruz M. Mental Health Services Research and Community Psychiatry. Hunter L McQuiston
Wesley E Sowars Jules M Ranz Jacqueline Maus Feldman. Handbook of Community
Psychiatry1. NY: Springer Science + Business Media. 561-573, 2013 doi.,10.1007/978-1-46143149-7_46
Duhigg, Daniel
Komaromy M, Buser R, Silver H, Hayes L, Bohan J, Duhigg D, Mount BK, Block J, Weiss J and
Cianciabella S. New Mexico Treatment Guidelines For Medical Providers Who Treat Opioid
Addiction Using Buprenorphine. Educational Manual for Physicians: authored sections on
buprenorphine vs methadone in pregnancy 2012 http://bhnm.org/wpcontent/uploads/2012/09/buprenorphine-guidelines-web-revised.pdf
Fawcett, Jan
Fawcett J. Contributions of the HIMH Collaborative Depression Study to DSM-5. Keller MB.
Clinical Guide to Depression and Bipolar Disorder. VA: American Psychiatric Publishing. 2013
Fawcett J. Suicide in Depression. Simon RI Hales RE. The American Psychiatric Publishing
Textbook of Suicide Assessment Management. Arlington, VA: American Psychiatric Publishing.
2013
16
Fawcett J, Coryell W and Clayton PJ. The effects of anxiety severity in depression. Keller MB.
Clinical Guide to Depression and Bipolar Disorder. VA: American Psychiatric Publishing. 2013
Fawcett J and Hager B. The Diagnosis of Mood Disorders. Charnay E Buxbaum JD Sklar P
Nestler EJ. The Neurobiology of Mental Illness. UK: Oxford University Press. 367-395, 2013
Fawcett J. Affective Disorders in DSM-5. Die Psychiatrie. 10(1):18-22, 2013
Forcehimes, Alyssa
Houck JM, Forcehimes AA, Guitterrez ET and Bogenschutz MP. Test-Retest Reliability of SelfReport Measures in a Diagnosed Sample. Substance Use Misuse. 48(1-2):99-105, 2013
Burlew AK, Montgomery L, Kosinski AS and Forcehimes AA. Does treatment readiness
enhance the response of African American substance users to motivational enhancement
therapy? Psychology of Addictive Behaviors. ePub:, 2013 PMID:23421576
Lizarraga C, Forcehimes AA, Bogenschutz MP. Themes in brief intervention sessions with
substance-using emergency department patients: interventionists' perspectives. College on
Problems of Drug Dependence 2013 Abstract Book. 91, 2013
http://www.cpdd.vcu.edu/Pages/Meetings/CPDD13AbstractBook.pdf
FitzGerald C, Martinez M, Garcia D, Crandall C, Forcehimes AA, Bogenschutz MP. Providing
brief addictions treatment in an emergency department: experiences of University of New
Mexico Hospital research interventionists in the SMART-ED trial. College on problems of Drug
Dependence. 2012 Abstract Book:45, 2012
http://www.cpdd.vcu.edu/Pages/Meetings/CPDD12AbstractBook.pdf
Forcehimes AA, Bogenschutz MP, Donovan DM, Crandall C, Lindblad R, Mandler R, Perl HI,
Walker R. Implementing addiction treatment trials in medical settings in the national institute on
drug abuse clinical trials network. College on problems of Drug Dependence. 2012 Abstract
Book: 45, 2012 http://www.cpdd.vcu.edu/Pages/Meetings/CPDD12AbstractBook.pdf
Worth LM, Forcehimes AA, Bogenschutz MP, Chavez R, Perl HI, Mandler R. Recruitment and
retention strategies for drug addiction research based in medical EDs. College on problems of
Drug Dependence. 2012 Abstract Book: 180, 2012
http://www.cpdd.vcu.edu/Pages/Meetings/CPDD12AbstractBook.pdf
Donovan DM, Bogenschutz MP, Perl H, Forcehimes A, Adinoff B, Mandler R, Oden N and
Walker R. Study design to examine the potential role of assessment reactivity in the Screening,
Motivational Assessment, Referral, and Treatment in Emergency Departments (SMART-ED)
protocol. Addiction Science and Clinical Practice. 7(1):16, 2012
Houck JM, Forcehimes AA, Gutierrez ET, Bogenschutz MP. Test-Retest Reliability of SelfReport Measures in a Dually Diagnosed Sample. Substance Use and Misuse. Epub Oct. 25,
2012:
Franchini, Gregory
Franchini G. "Feeling Okay.". Medical Muse Spring 2013. 18(1):16-18, 2013
Geppert, Cynthia
Geppert CM and Volk AH. Serious substance use problems and palliative care. David B Cooper
17
and Jo Cooper. Palliative care within mental health: principles and philosophy1. London:
Radcliffe Publishing. 251-264, 2012
Geppert CM and Candilis PK. Ethics. David B Cooper and Jo Cooper. Palliative care within
mental health: principles and philosophy1. London: Radcliffe Publishing. 45-58, 2012
Hensley, Paula
Hensley Paula and Clayton Paula J. Why the Bereavement Exclusion Was Introduced in DSMIII. Psychiatric Annals. 43(6):256-260, 2013 DOI: 10.3928/00485713-20130605-04
Isakson, Brian
Isakson BI and Jurkovic GJ. Healing after torture: the role of moving on. Qualitative Health
Research. 23:749-761, 2013 doi10.1177/1049732313482048
Katzman, Jeffrey
Katzman, J and Coughlin P. "The role of therapist activity in psychodynamic psychotherapy."
Psychodynamic Psychiatry. 41(1):75-89, 2013
Quinn D and Katzman J. The Wizard of OZ: A depiction of TBI-related neurobehavioral
syndromes. Academic Psychiatry. 36(4):340-344, 2012
Khafaja, Mohamad
Quinn D, Rees C, Brodsky A, Deligtisch A, Evans D, Khafaja M, Abbott C. Catatonia after deep
brain stimulation successfully treated with right unilateral electroconvulsive therapy: a case
report. Journal of ECT. 2013 doi: 10.1097/YCT.0b013e31829e0afa
Kriechman, Avron
Avron Kriechman and Caroline Bonham. Telemental health in primary care. Myers & Turvey.
Telemental health: clinical, technical, and administrative foundations for evidence based
practice1. Elsevier. 2012
Quinn, Davin
Quinn D, Rees C, Brodsky A, Deligtisch A, Evans D, Khafaja M, Abbott C. Catatonia after deep
brain stimulation successfully treated with right unilateral electroconvulsive therapy: a case
report. Journal of ECT. 2013 doi: 10.1097/YCT.0b013e31829e0afa
Quinn D and Katzman J. The Wizard of OZ: A depiction of TBI-related neurobehavioral
syndromes. Academic Psychiatry. 36(4):340-344, 2012
Stromberg, Shannon
Prieto G and Stromberg SF. Implementing Morbidity & Mortality Conferences for the
Department of Psychiatry. University of New Mexico Journal of Quality Improvement in
Healthcare. 40(2): 2013
Thoma, Robert
Abbott C, Lemke N, Gopal S, Thoma R, Bustillo J, Calhoun V, Turner J. Electroconvulsion
therapy response in major depressive disorder: a pilot functional network connectivity resting
state fMRI investigation. Frontiers in Neuropsychiatric Imaging and Stimulation. 4:10, 2013 doi:
10.3389/fpsyt.2013.00010
18
Yeo RA, Gangestad SW, Liu J, Ehrlich S, Thoma R, Pommy J, Mayer AR, Schultz SC,
Wassinick TH, Morrow EM, Bustillo JR, Sponheim Ho BC and Calhoun VD. The impact of
copy number deletions on general cognitive ability and ventricle size in patients with
schizophrenia and health control subjects. Biological Psychiatry. 73(6):540-5, 2013
doi:10.1016/j.biopsych.2012.10.013
Abbott C, Lemke N, Gopal S, Thoma R, Bustillo J, Calhoun V and Turner J. Electroconvulsive
therapy response in major depressive disorder: a pilot functional network connectivity resting
state fMRI investigation. ACNP. 2012
Diaz N, Khafaja K, Gallegos P, Thoma R, Abbott C. A longitudinal pilot investigation of
neuropsychological performance associated with electroconvulsive therapy in late-life
depression. American Association of Geriatric Psychiatry. 2013
Tohen, Mauricio
Katagiri H, Tohen M, McDonnell DP, Fujikoshi S, Case M, Kanba S, Takahashi M, Gomez
JC. Efficacy and safety of olanzapine for treatment of patients with bipolar depression:
Japanese subpopulation analysis of a randomized, double-blind, placebo-controlled
study.BMC Psychiatry. 2013 May 14;13:138. doi: 10.1186/1471-244X-13-138
Lukasiewicz M, Gerard S, Besnard A, Falissard B, Perrin E, Sapin H, Tohen M, Reed C, Azorin
JM. Young Mania Rating Scale: how to interpret the numbers? Determination of a severity
threshold and of the minimal clinically significant difference in the EMBLEM cohort. Emblem
Study Group. Int J Methods Psychiatr Res. 2013 Mar;22(1):46-58. doi: 10.1002/mpr.1379. Epub
2013 Mar 21
Tohen M. Author's reply. Br J Psychiatry. 2013 Feb;202:153-4
Tohen M. Methodologies to avoid the enrollment of ineligible patients in clinical trials. J Clin
Psychiatry. 2012 Nov;73(11):1426-7. doi: 10.4088/JCP.12com08119
Undurraga J, Vieta E, Tohen M, Colom F. Olanzapine in schizophrenia and affective disorders.
Drug Saf. 2012 Dec 1;35(12):1185-6; author reply 1186. doi: 10.2165/11641770-00000000000000
Tohen M, McDonnell DP, Case M, Kanba S, Ha K, Fang YR, Katagiri H, Gomez JC.
Randomised, double-blind, placebo-controlled study of olanzapine in patients with bipolar I
depression. Br J Psychiatry. 2012 Nov;201(5):376-82. doi: 10.1192/bjp.bp.112.108357. Epub
2012 Aug 23
Tohen M, Wang WV, Leboyer M, Jen KY. Variables as mediators or moderators in predicting
relapse to any type of mood episode in a bipolar maintenance study. J Clin Psychiatry. 2012
Jul;73(7):e913-7. doi: 10.4088/JCP.10m06737
Olsen BT, Ganocy SJ, Bitter SM, Findling RL, Case M, Chang K, Tohen M, DelBello MP.
Health-related quality of life as measured by the child health questionnaire in adolescents with
bipolar disorder treated with olanzapine. Compr Psychiatry. 2012 Oct;53(7):1000-5. doi:
10.1016/j.comppsych.2012.03.010. Epub 2012 Apr 18
Vargas, Luis
Kratochwill TR, Hoagwood K, Kazak AE, Weisz JR, Hood K, Vargas LA and Banez GA.
19
Practice based evidence for children and adolescents: advancing research agenda in the schools.
School Psychology Review. 41(2):214-235, 2012
Wilcox, Claire
Wilcox C, Bogenschutz MP. Pharmacotherapies for Alcohol and Drug Use Disorders. McCrady
BS Epstein EE. Addictions: A Comprehensive Guidebook2nd. New York, NY: Oxford
University Press. 2013
Wilcox C, Bogenschutz MP, Nakazawa M, Woody G. Concordance Between Self-Report and
Urine Drug Screen Data in Adolescent Opioid Dependent Clinical Trial Participants. Addictive
Behaviors. 38:2568-2574, 2013
Abbott C, Jaramillo A, Wilcox C, Hamilton D. Antipsychotic drug effects in schizophrenia: a
review of longitudinal fMRI investigations and neural interpretations. Current Medicinal
Chemistry. PMID: 23157635, 2012
Child Psychiatry
Adelsheim, Steven
Sidney Berman Award for the School Based Study and Treatment of Learning Disorders and
Mental Illness, 2012, American Academy of Child and Adolescent Psychiatry, US.
Belitz, Jerald
Belitz J. How to Intervene with Unethical and Unprofessional Colleagues. Laura Weiss Roberts.
The Academic Medicine Handbook1. New York: Springer NY. 183-189, 2013 doi: 10.1007/9781-4614-5693-3_24
Bereiter, Jeanne
Bereiter J. If She Had Married Barry Higgins. The Literature and Humanities Journal of the
UVA School of Medicine. Spring/Summer 2013:cg2b, 2013
http://news.med.virginia.edu/hospitaldrive/2013/06/21/if-she-had-married-barry-higgins/
Bereiter J and Mullen D. Treating Juvenille Sex Offenders. Elena L Grigorenko. Handbook of
Juvenille Forensic Psychology and Psychiatry1. New York, NY: Springer. Chapter 25, 2012
Del Fabbro, Anilla
Anilla Del Fabbro MD. Nurturing Natures: Attachment and Children's Emotional, Sociocultural,
and Brain Development. Infant Mental Health Journal. 34(3):257-258, 2013
doi:10.1002/imhj.21367
McCarty, Teresita
Parker J, Abercrombie S and McCarty T. Feedback sandwiches affect perceptions but not
performance. Advances in Health Science Education. ISSN 1573-1677:1573-1677, 2012
doi:10.1007/s10459-012-9377-9
Mullen, David
Bereiter J and Mullen D. Treating Juvenille Sex Offenders. Elena L Grigorenko. Handbook of
Juvenille Forensic Psychology and Psychiatry1. New York, NY: Springer. Chapter 25, 2012
20
INSTITUTE for the DEVELOPMENT of EDUCATION and
ADVANCEMENT of SCIENCE (IDEAS) in PSYCHIATRY
ACADEMIC YEAR 2012-2013
SAMUEL KEITH, M.D., DIRECTOR
Now based in the Office of Community Engagement, IDEAS in Psychiatry is a nonprofit
educational institute that provides useful, accurate and up-to-date scientific information about
psychiatric illnesses and addictions including their symptoms, and treatments. The goal is to
encourage open, honest and informed discussion so that those impacted by mental illness and
addiction can seek effective help for themselves or their loved ones.
“We Need to Talk”
IDEAS brings in three national/ international experts to provide
public lectures and other opportunities for specific audiences. This year’s audiences ranged in
size from 175 – 250.
•
“Anxiety and Depression: Similarities and Differences,” Alan F.
Schatzberg, M.D.
Professor, Department of Psychiatry and Behavioral Sciences, Stanford University
School of Medicine, Director, Stanford Mood Disorders Center (11/1/12)
• “Mental Illness: Why Genes Matter,” Matthew State, M.D. Ph.D.
Donald J. Cohen Professor in the Child Study Center; Professor, Genetics and Professor
Psychiatry; Co-Director, Yale Program on Neurogenetics; Deputy Chairman for
Research, Department of Psychiatry, Yale University School of Medicine (2/7/13)
• “Understanding Schizophrenia,” Robert Freedman, M.D.
Professor and Chair, Robert Freedman Endowed Chair, Department of Psychiatry,
University of Colorado, Health Sciences Center, Anschulz Medical Campus, Denver,
Colorado (4/11/13)
“Let’s Keep Talking”
These smaller free public events with 12 – 50 participants serve as
follow-ups to the “We Need to Talk” lectures and feature Department and other UNM faculty as
well as local experts. Whenever possible, they take place in community locations.
•
“Taking Care of Yourself (and others) During the Holiday
Season,” Jeff Katzman, M.D.
Professor; Vice Chair for Education and Academic Affairs; Medical Director, UPC
Clinic, UNM Department of Psychiatry (11/17//12)
•
“Mental Illness, Genetics & Hope for the Future,” Nora PerroneBizzozero, Ph.D., Professor, UNM Department of Neurosciences
(scheduled for 2/19/13, cancelled due to emergency)
• “Schiozphrenia from the Inside Out,” Stephen Lewis, M.D.
Associate Professor, UNM Department of Psychiatry (4/24/13)
21
DIVISION of EDUCATION and RESIDENCY TRAINING
ACADEMIC YEAR 2012-2013
JEFFREY KATZMAN, M.D.
VICE CHAIR for EDUCATION and ACADEMIC AFFAIRS
Educational programs in the Department include medical student education; general psychiatry
residency; fellowships in geriatric psychiatry, addiction psychiatry, and psychosomatic medicine;
and continuing medical and professional education. Major activities also occur through the rural
psychiatry program, the affiliated child and adolescent psychiatry residency program and the
child psychology and social work internships.
The General Psychiatry Residency Training Program has come to attract the top national
applicants, now competing with the most esteemed universities in the country. The program
successfully filled an incoming internship class and PGYII spots. It was reviewed through the
ACGME site review process and did exceptionally well. The next review is scheduled for ten
years from now, with a self-study in April, 2021. The program received only one citation, which
has been addressed, involving cross coverage when a resident is absent on the inpatient units.
The program has worked with fellowship leaders to create unique learning experiences. Over the
coming year, residents will have one month less of inpatient psychiatry to participate in a unique
community psychiatry rotation. The program anticipates using the ninth intern position this year
through recruitment and to create a community and rehabilitation experience at the NMVAMC.
This year, the program leadership has also begun to delineate unique educational tracks to invite
residents into greater specificity over the course of their learning experience, with particular
emphasis on developing unique programs in rural psychiatry and research. In compliance with
the Next Accreditation System, the program has also created a competency committee and a
program evaluation committee, and is actively working on review of the clinical and didactic
experiences in conjunction with the newly published milestone requirements.
Faculty members continue to participate in the Medical Education Scholars program, the
Medical Student Admissions Committee, the BA/MD program, the medical student clerkship
committee, the residency training program review committee, the GME steering committee, the
faculty forward committee, and multiple promotion and tenure committees, among others. The
medical student education continues to be rated the highest in the medical school.
Eight faculty members were successfully promoted this year. Faculty also connect with mentors
nationally through the IDEAS in Psychiatry program, leading to substantial clinical and
educational program development. Mentors have come as well specifically to work with female
faculty members to identify career opportunities.
Our faculty continues to provide educational experiences outside of the Department, lecturing
extensively as visiting professors in medical schools around the nation and at many national
meetings. They make major contributions to Project ECHO in the areas of pain management,
Hepatitis C, addictions, and General and Child Psychiatry, and have further developed
psychotherapy training programs in collaboration with ECHO; these, too, are recognized
nationally.
22
MEDICAL STUDENT EDUCATION
ACADEMIC YEAR 2012 - 2013
DEBORAH DELLMORE, M.D., DIRECTOR
Medical student educational activities thrived under the direction of Jeff Katzman, M.D., Vice
Chair for Education, and Deborah Dellmore, M.D., Director of Medical Student Education. Dr.
Dellmore designs, updates, and directs behavioral science and psychiatry exposure throughout
the medical school curriculum. She plays a leadership role within the medical school by serving
as Co-Chair for the Phase II/III Committee (Clerkship Director’s Group). she chairs the SOM
Curriculum Committee and serves on other committees including CSPE, AOA, Search
Committee for new Associate Dean, and Medical Leadership Academy. She is the faculty
support member for the Student Interest Group in Psychiatry. Mary Haley, Curriculum
Development Coordinator for the Medical Student Program, continues to exemplify excellence
in administration of medical student rotations in psychiatry. Pamela Arenella, M.D., served as
Assistant Clerkship Director in Psychiatry from January to June 2013. Scott Carroll, M.D., chairs
CSPE and Pamela Arenella, M.D. is Director of Communication Skills for medical students.
Behavioral science teaching by the Department of Psychiatry in Phase I is integrated into
organ/system-based teaching blocks, with a particular focus and departmental involvement in the
latter half of the Neuroscience Block. Deborah Dellmore, M.D. directs the Behavioral
Neurosciences portion of the block and participates on the block committee. In addition,
departmental faculty participate as tutors, lecturers, and clinical skills preceptors in many other
blocks.
The Phase II component of our educational program is based upon a four-week clerkship in
psychiatry, and the clerkship has continued to rank number one in most areas as rated by students
in the annual Clerkship Compare Report.
In Phase III, the department offers a diverse array of elective four-week experiences in
psychiatry in which students are able to take on an increasing level of responsibility and explore
specific areas of psychiatry in more depth, including sub-internship experiences and electives. In
2013, four students are applying to psychiatry residencies thereby filling a national need for
more psychiatrists and achieving a slightly above the national average recruitment rate.
Additional Departmental Participation in Educational Activities
•
•
•
•
•
•
Perspectives in Medicine (PIM) Teachers: a core required course throughout the
curriculum in which ethics, professionalism, and doctoring principles are taught
Practical Immersion Experience (PIE) Circuit Riders: a clinical summer
experience for Phase I students
Narrative Strand Mentors: a reflective writing mentorship experience for students
away at their PIE site
Continuity Clinic III Preceptors: required specialty clinic experiences for Phase II
students
Committee Participation: Faculty members served/chairing on various major
education committees of the School of Medicine including: those listed above and
Admissions Committee
Research Mentors for required medical student research projects
23
RESIDENCY TRAINING PROGRAM
ACADEMIC YEAR 2012 – 2013
STEPHEN LEWIS, M.D., DIRECTOR
The residency training program received a 4-year accreditation from the ACGME in April, 2013.
The training program also welcomed a full class of PGY-1 residents as well as two new PGY-2
residents and one PGY-3 resident beginning in July, 2012.
The Resident Retreat was held on Friday, May 17, 2013 at the UNM Student Union Building.
The focus was: “Balancing Personal and Family Wellness with Work Demands” and “Building
Meaningful Relationships: Teamwork and Problem-Solving through Experiential Learning” and
was mediated by Lorian Kostranchuk, M.D. and Charlie Shahnaian, Watson Adventures, Inc.
Graduates
The residents graduating from the adult psychiatry program in June 2013 are listed below, along
with their immediate future plans.
PGY-4 Residents
Nery Diaz, D.O., Geriatric Fellowship, Yale School of Medicine, New Haven, CT
Melissa Merhege, M.D., Raymond G. Murphy, VA Medical Center, Albuquerque, NM
Gabriela Prieto, M.D., Raymond G. Murphy, VA Medical Center, Albuquerque, NM
Paul Romo, M.D., Addictions Fellowship, UNM
Incoming Residents
PGY-1
Leslie Chavez, B.S., University of New Mexico, Albuquerque, NM, 1999; Ph.D., University of
California at San Diego, La Jolla, CA 2005; M.D., University of New Mexico School of
Medicine, Albuquerque, NM, 2012
Katherine Danner, B.S., University of Oklahoma, Norman OK, 2003; M.D., University of
Oklahoma College of Medicine, Oklahoma City, OK, 2012
Lucas Dunklee, B.A., Macalester College, Saint Paul, MN, 1999; M.D., University of Hawaii,
John A. Burns School of Medicine, Honolulu, HI, 2012
Christopher Miller, B.A., Claremont McKenna College, Claremont, CA, 1984; M.D., Drexel
University College of Medicine (formerly MCP Hahnemann), Philadelphia, PA, 2010
Brian Sparks, A.S., Macon State College, Macon, GA, 2002; B.A., Mercer University Macon,
GA, 2006; B.S., Mercer University, Macon, GA, 2006; M.D., St. George’s University, Grenada,
2012
Erin Tansey, B.A., University of New Mexico, Albuquerque, NM, 2003; M.D., University of
Minnesota Medical School, Minneapolis, MN 2012
Aizhan Tyndybekova, M.D., Kazakh National Medical University, Kazakhstan, 2003
24
Robert Voloshin, B.S., University of California San Diego, La Jolla, CA, 2004; D.O., Touro
University College of Osteopathic Medicine, Vallejo, CA, 2011
PGY-2
Amy Bissada, B.A., Rice University, Houston TX, 2007; D.O., AT Still University, Mesa, AZ,
2011; Internship, Family Medicine, Texas A&M Health Sciences Center, Bryan, TX, 2011
Nina Gonzales, B.S., University of New Mexico, Albuquerque, NM, 2005; M.D., University of
New Mexico, School of Medicine, Albuquerque, NM, 2011; Internship, Anesthesiology,
University of New Mexico School of Medicine, Albuquerque, NM, 2012
PGY-3
John Vukelich, B.S., University of Texas San Antonio, TX, 2006; M.D., University of Minnesota
Medical School, Minneapolis, MN, 2010; Internship and PGY-2, University of Minnesota
Medical School, Minneapolis, MN, 2012
Chief Residents
Melissa Merhege, M.D., assumed chief responsibilities for the Inpatient Services at the Raymond
G. Murphy, VA Medical Center from July 2012 – June 2013.
Gabriela Prieto, M.D., assumed chief responsibilities for the Inpatient Services at the University
of New Mexico Psychiatric Center from July 2012- June 2013.
Paul Romo, M.D., assumed chief responsibilities for the Outpatient Services at the University of
New Mexico Psychiatric Center from July 2012 – June 2013.
AWARDS
The following is a listing of departmental awards and recipients:
Senescu Award for Community Contributions:
Resident Research Award:
Kellner Teaching Award for Faculty:
Kellner Teaching Award for Volunteer Faculty
Nery Diaz, D.O. & Gabriela Prieto, M.D.
Nery Diaz, D.O.
Snehal Bhatt, M.D.
Jennifer Rielage, Ph.D.
Rosenbaum Award:
Diana Quinn Award for Staff:
Diana Quinn Award for Resident:
PGY-2 Exemplary Performance Award
Davin Quinn, M.D.
Jane Bishop, R.N.
Gabriela Prieto, M.D.
Nina, Gonzales, M.D.
Plans for 2013-2014 Academic Year:
Steve Lewis, M.D. has been promoted to Assistant to the Dean of Graduate Medical Education.
Pamela Arenella, M.D. will become the Residency Training Director, July 1, 2013.
25
CONTINUING EDUCATION PROGRAM
ACADEMIC YEAR 2012-2013
JEFFREY KATZMAN, M.D., DIRECTOR
The Department of Psychiatry has invested a great deal of resources in the development of a
state-of the-art continuing education program.
To this end, the Department offered a weekly Friday Departmental Conference Series/Grand
Rounds. The Grand Rounds Series took place from September 2012 through June 2013. This
year, the Department sponsored twelve visiting faculty to provide lectures for faculty and
interested community members. Evaluations continue to note the high quality of presentations.
Our faculty and community professionals note the relevance of these presentations to their
practice.
The Department continued to bring mentors to work with faculty members and the community
through the Institute for the Development of Education and Advancements of Science (IDEAS)
in Psychiatry. Internationally celebrated leaders once again spent time with and presented to
faculty, residents, other mental health providers in the community and the public.
Over the coming year, Grand Rounds will be moved to Tuesday, with ongoing faculty
presentations in conjunction with a monthly speaker identified by faculty as a national leader in
the field able to address a particular knowledge or practice gap. The IDEAS program will
continue to target specific needs in the community in an effort to bring state of the art knowledge
about specific mental health issues to community members, providing three lectures a year to the
community.
26
BRIEF THERAPY TRAINING CLINIC
ACADEMIC YEAR 2012-2013
GERARDO VILLARREAL, M.D., DIRECTOR/EDUCATION
This unique training venue for psychiatry residents continues to grow in scope. Although its
educational focus is on psychiatry residents, the clinic occasionally accepts other trainees.
Objectives:
•
To teach PGY-3 residents about short-term psychotherapies generally under the rubric of
cognitive behavioral therapy (CBT)
• To teach residents how to select appropriate patients for these therapies, how to conduct
these therapies, and how to integrate CBT with pharmacotherapy
• To teach residents about the liaison process with other physicians and allied providers
regarding the use of short-term psychotherapies and pharmacotherapy
• To supervise PGY-4 residents that did not achieve the educational goals in their 3rd year
of residency or that elect to continue CBT supervision in their fourth year
The didactic component is held PGY-3 residents every Wednesday at 8-9 am. The component is
topical, covering principles of CBT and other empirically-validated short-term therapies as well
as treatment of specific disorders such as panic disorder, obsessive-compulsive disorder,
depression and posttraumatic stress disorder. Faculty, who have expertise in these areas, teach
the topics. Additionally, each resident presents one topic with faculty supervision. The
curriculum is updated annually. Residents are asked to complete two "Brief Psychotherapy
Competency Assessment – Case Write up and Report" forms on patients they have treated.
Clinical Services
Each PGY-3 sees up to two patients at a time in short-term psychotherapy and to complete at
least 3 cases by the end of the rotation. The patients are referred from other psychiatry clinics
and primary care clinics. Group supervision for this component is held every Friday from 12-1
pm. Supervision is now conducted in a joint meeting in which Dr. Villarreal supervises half of
the residents and Dr. Rielage the other half. At the end of the first six months residents rotate to
the other supervisor. At the end of therapy, each patient is sent back to the referring provider
with a synopsis of treatment, its outcome, and treatment commendations for continued treatment.
The BTTC faculty conducts evaluations of competency for all residents in the clinic, consistent
with the ACGME mandate to provide evidence for competency in training for cognitivebehavioral therapies, combined therapies, and short-term psychotherapies.
Significant Changes and Accomplishments
The BTTC faculty includes Gerardo Villarreal, M.D. and Jennifer Klosterman Rielage, Ph.D.
who joined our program last year. Dr. Rielage’s contributions were recognized by the residents
who awarded her the Robert Kellner Teaching Award for adjunct faculty in 2013.
Plans for 2013-14
We continue to modify the didactics. Residents like and benefit from practical, experiential
exercises such as role-plays, we are expanding those types of exercises.
The supervision time was changed to Mondays from 8-9, Dr. Villarreal will now supervise
residents in the Mental Health Center and Dr. Rielage will continue in the psychiatry department.
27
UNIVERSITY of NEW MEXICO PSYCHIATRIC CENTER (UNM PC)
ACADEMIC YEAR 2012-2013
WILLIAM APFELDORF, M.D., Ph.D.,
EXECUTIVE MEDICAL DIRECTOR
The University of New Mexico Psychiatric Center (UNMPC) continues to provide quality
psychiatric care. The past year has seen continued growth in nearly all aspects of the practice,
reflecting an increase in our efficiency and updates to better align services with UH and the
needs of our communities. Dr. William Apfeldorf serves as the Executive Medical Director. The
psychiatry leadership group includes Dr. Shannon Stromberg as Medical Director of Inpatient
Services, Dr. Mario Cruz as Medical Director for Outpatient Services, Dr. Peggy Rodriguez as
Medical Director for Psychiatric Emergency Services, Dr. Swala Abrams as Medical Director for
COPE (outpatient services for the severely disabled and medically ill), and Dr. Davin Quinn as
Medical Director for Psychiatry Consultation-Liaison Services. Individual faculty changes are
described in the medical directors’ reports.
Inpatient Services – Dr. Shannon Stromberg, Medical Director
Outpatient Services – Dr. Mario Cruz, Medical Director
• Short Term Assessment and Recovery Treatment (START) – Dr. Mario Cruz,
Medical Director
• Recovery and Resiliency Program (RRP) – Dr. Kathryn Fraser, Medical Director
• Dual Diagnosis Clinic – Dr. Snehal Bhatt, Medical Director
• STEPP Clinic – Dr. Stephen Lewis, Medical Director
• Seniors – Dr. Christopher Abbott, Medical Director
COPE Clinics – Dr. Swala Abrams, Medical Director
Psychiatric Emergency Services – Dr. Peggy Rodriguez, Medical Director
• Urgent Care – Gloria Dixon, PNP
University Hospital Consultation Psychiatric Service (Adult) – Dr. Davin Quinn, Medical
Director
Assertive Community Treatment Team (ACT) – Dr. Denise Lin, Medical Director
Future Plans: FY 2013-2014
Aligning with the strategic goals of UNM SOM, UNMMG and UH, the plan is to organize and
modernize the following services to provide better community engagement:
• HSC Geriatric Psychiatry Clinical Services (inpatient and outpatient)
• Sandoval Regional Medical Center psychiatric services
• Psychiatric Emergency Services
28
INPATIENT SERVICES
ACADEMIC YEAR 2012-2013
SHANNON STROMBERG, M.D., MEDICAL DIRECTOR
The Inpatient Services of the Psychiatric Center consist of two adult inpatient units, a geriatric
inpatient unit and an electroconvulsive therapy (ECT) service. The focus of the inpatient units is
on patient protection and safety when one is acutely suicidal, violent or unable to care for
oneself. The inpatient service provides initial assessment and diagnosis, initiation of medication
if indicated, crisis intervention therapy, stabilization, and discharge to an appropriate level of
follow-up care. The ECT service provides this important treatment modality to inpatients and
outpatients. The services are located in the inpatient wing of the UNM Psychiatric Center, with
the exception of ECT which is performed at University Hospital.
Dr. Shannon Stromberg serves as Medical Director for Inpatient Services and is the attending
psychiatrist on the West Ward. The East Ward is staffed by Dr. Gray Clarke. Their clinical skills
and expertise expand the Department’s ability to serve as a major inpatient resource for
psychiatric patients from Albuquerque, Bernalillo County and surrounding areas. The inpatient
services also are a major educational resource for health professionals, including medical
students and post-graduate trainees.
Dr. William Apfeldorf serves as Director for Geropsychiatry Programs. He is also unit chief of
the geriatric unit and has transitioned the unit into a major resource for the School of Medicine,
the University, and New Mexico. Dr. Aaron Brodsky and Dr. Mohamad Khafaja are
geropsychiatrists serving as inpatient attending psychiatrists for the geriatric unit. Their expertise
expands the range of clinical and educational services now offered. Fellows from the Department
of Internal Medicine, Division of Geriatrics, complete two months of training on the geriatric
unit. Referrals for geriatric unit services now come from the entire state, including the pueblos,
while continuing to serve the needs of Bernalillo county seniors.
Dr. Christopher Abbott serves as Medical Director for ECT Services. Under the guidance of Dr.
Abbott, Dr. Davin Quinn and Dr. Mohamad Khafaja, the service operates at capacity year-round.
Over the past year the Inpatient Service, including the geriatric unit, adult units, and ECT
service, have been running near full capacity, and interface clinically and daily with the
Psychiatric Emergency Service (PES), the Psychiatric Consult-Liaison group and the outpatient
clinics. In the midst of all this clinical activity, the Inpatient Services provide a core component
of training to medical, nursing, and physician assistant students, as well as Psychiatry residents.
29
COPE CLINICS
ACADEMIC YEAR 2012-2013
SWALA ABRAMS, M.D., MEDICAL DIRECTOR
The COPE clinics provide specialized, integrated, multidisciplinary care to patients identified as
having severe disabling mental illness with psychosis as a primary target symptom. The clinics
use a recovery oriented approach and link clients with community services and peer support
groups. UNM psychotherapy services are also available to interested COPE clinics patients. The
clinics have fluency in a variety of cultures, particularly the varied ethnicities of New Mexico,
and subcultures present in impoverished urban populations.
The clinics team consists of Attending psychiatrists Drs. Swala Abrams, Juan Bustillo, Elizabeth
Weil; Nurse Practitoner Karen May; R.Ns. Kathy Crisp, Andrew Leyba, Deborah Tells, Karen
Vernay; medical assistant Mayra Martinez and case managers Ceci Cuneo, Charlene Pohl, and
Dave Wollesen. Karen Vernay, along with Lorie Dropps, Pharm.D. handle clinical and
administrative support for long acting injection antipsychotic medications. Robert Whittaker,
R.N., holds a 0.8 FTE position as Injection Clinic nurse. COPE front desk staff is Deborah
Gutowski, who is supervised by Kat Featherston. Ulla Jaramillo, R.N., supervises nurses and
serves as nurse manager for the COPE clinics, ECT, and Senior clinic. COPE also works with a
representative payee, who offers social security services to clients. TriCore provides phlebotomy
services weekly to Clozapine patients.
Components of the COPE clinics are:
• Injection Clinic, Dr. Abrams, Medical Director – More than 270 patients receive longacting injection antipsychotic medication. These include Risperdal Consta, Invega
Sustenna, Zyprexa Relprevv, Abilify Maintena and Haloperidol and Fluphenazine
Decanoates.
• Coordinated clinic -Outpatient services are provided to coincide with other appointments
in the system, including injection clinic and representative payee services. More than
600 patients are part of this clinic.
• Outpatient Clinic – Services provided through appointments scheduled independent of
other ancillary services. Dr. Juan Bustillo cares for Spanish-only speaking patients here,
with approximately 30 patients on this panel.
• Clozapine Clinic – Outpatient services provided by Dr. Juan Bustillo. Clinic visits are
coordinated with on-site phlebotomy. Approximately 90 patients. Clozapine use is not
restricted to the COPE clinics.
• MI-DD Clinic – Outpatient services for patients with developmental disability and
psychiatric issues. Clinical services are provided by Dr. Elizabeth Weil and Dr. Alya
Reeve, with support from Kathy Crisp, RN. Approximately 235 patients are part of this
clinic.
COPE clinics provide services for approximately 950 patients. Referrals range from 7-15/month,
with growth of the clinic by approximately 70 patients/ year and attrition of fewer than 20/
annually.
30
The COPE clinics are staffed with 2.5 FTE of provider time, 4 FTE of nursing time, additional
RN time to staff the Injection clinic three half days a week, and one clerk and one medical
assistant. With more than 700 patient visits per month, COPE remains critically under-resourced
in terms of ancillary support services.
The mission and goals of COPE clinics will be achieved with the addition of the primary care
component, enhancement of pharmacy services, development of point of care case management,
opportunities for psycho-education for patients and family members, and increased surveillance
for medication adherence and screening for medical problems, and expansion of clinical services,
including through the development of resident educational opportunities.
Additional crucial goals are to maximize use of team RN members’ skills and training by
increasing clinical contact with patients and families and developing opportunities to participate
in health services delivery research as a means of further improving care to the vulnerable
population service by the COPE clinics.
31
RECOVERY RESILIENCY PROGRAM
ACADEMIC YEAR 2012-2013
KATHRYN FRASER, M.D., MEDICAL DIRECTOR
The Recovery Resiliency Program (RRP) focuses on patients with affective, anxiety and
personality disorders. It is multi-disciplinary and staffed by attending psychiatrists, advanced
nurse practitioners (APNs), nurses, therapists, comprehensive community support specialists
(formerly case managers), peer bridgers and clerical staff. It promotes recovery with the goal of
best possible feeling and functioning. Once patients improve, most are transferred to primary
care providers for prescription of their psychiatric medications.
The program uses a recovery model of treatment and is starting to employ a chronic disease
model as well. This includes initial scales and assessments, and follow-ups by team nurses.
Information is shared with providers (psychiatrists and APNs) to help manage and improve care.
Nurses have started a patient education group focusing on medication issues and have worked
with Dr. Fraser on a recovery resiliency education group currently run by a psychotherapist.
With both these models, care can move towards more nurse visits with providers shifting into
more of a consultant role. This type of care should improve individual patient progress and
improve access for new patients. A challenge for our program has been lack of enough nursing
time to shift the clinical visits from psychiatric providers to nurses.
In addition to Dr. Fraser, other providers of clinical care are Drs. Cruz, Teufel, and Nickell and
APNs Mary Beth Yutzy and Carol Capitano. Mina Khazze, RN is the head nurse and other
nurses include Anne Stats, Hurbina Sandoval, Maryanne Golden and Mary Findsplaces. Sam
Nickell, M.D., a former PGY-4 resident was the first to do a clinical elective with the program.
The aim is to have at least one fourth-year resident in a clinical elective, although this year we
did not have a resident. This program might become a required or elective clinical site for PGY-3
residents as well.
Services:
• Individual medication treatment of affective, anxiety and personality disorders by
psychiatrists or APNs
• Nursing visits: individual for assessments and follow-ups and groups for orientation,
medication, recovery issues
• Psychotherapy by referral for groups and individual therapy
• Comprehensive Community Support Services (CCSS) (formerly case management) by
referral and referral to Peer Bridger program run by Pat Loyd
• Multi-disciplinary team meetings held weekly with team provider, RN, CCSS and
therapist (as needed) and monthly BIG RRP meeting with all team members
• PGY-4 psychiatry resident elective supervised by Drs. Fraser, Cruz and Nickell
• Psychosocial Rehabilitation Service and Caminante (work assistance program) referrals
Research
The Program is not currently involved with research, however, plans are being considered to
begin an assessment project of patients using an instrument such as the Recovery Oriented
Systems Indicators Measure (ROSI) and/or the Connor Davidson Resilience Scale.
32
PSYCHIATRIC EMERGENCY SERVICES (PES)
and PHONE TRIAGE
ACADEMIC YEAR 2012-2013
PEGGY RODRIGUEZ, M.D., MEDICAL DIRECTOR
Psychiatric Emergency Services (PES) provides emergent and urgent psychiatric care services 24
hours, 7 days a week, for residents of Bernalillo County, surrounding counties, and others who
need immediate psychiatric treatment. PES provides education for psychiatry residents, medical
students, rotators from other services, and nursing students.
In addition to the above-mentioned county and educational services provided, PES assesses and
treats patients from the UNMH Emergency Department as well other community emergency
rooms, law enforcement referrals, and community ambulance referrals. Also, PES serves as the
back-up assessment and admission service for the Children’s Psychiatric Hospital when
extremely acute children or adolescents require assessment and admission outside of regular
business hours.
Besides its direct clinical and educational services, PES provides video consultation to the
Sandoval Regional Medical Center Emergency department for psychiatric patients in their ED.
PES functions as the gateway to the Psychiatric Center’s inpatient services and offers phone
support to providers, families and patients throughout the state. PES also serves as the admission
service for the majority of outpatients served at the UNM Psychiatric Center.
Patients are triaged within 15 minutes of arrival to determine the level of care needed. Those
requiring emergency medical care are transferred to the medical emergency room (ER), and
others are divided according to acuity/risk and are seen in order of level of immediate need.
A significant amount of time is spent serving the community as an educational and referral
source for low acuity patients seeking psychiatric care. Low acuity patients are served through
the Psychiatric Urgent Care Center. The Psychiatric Urgent Care Center (PUCC) is staffed by
registered and advanced practice nurses.
Personnel:
PES attending staff consists of Drs. Peggy Rodriguez and Jeffery Dunn, and CNP’s Yolanda
Morales, Julie Tenbrook and Gloria Dixon.
33
SPANISH SPEAKING CLINIC
ACADEMIC YEAR 2012-2013
JUAN BUSTILLO, M.D., SECTION CHIEF
New Mexico is geographically the fifth largest state and has the largest proportion of Hispanic
population of any state in the Union. Approximately 40% of New Mexico’s population is of
Spanish and Mexican-American ancestry. A significant portion of this population is marginally
bilingual, that is speaking Spanish far more comfortably than English. The Spanish Speaking
Clinic is in its thirteenth year of operation. It has been wholeheartedly supported through the
Department of Psychiatry and implemented at the University of New Mexico Psychiatric Center
(UPC). It is a general psychiatric clinic that is part of the COPE Clinic. The nursing staff in this
clinic is also fluent in Spanish. Case management is routinely available to patients in this clinic.
The case managers are also fluent in Spanish. The clinic is under the direction of Juan Bustillo,
MD, Professor of Psychiatry and Neuroscience.
The Spanish Speaking Clinic continues to serve as a template for the development of culturally
competent interventions at the Health Sciences Center. It is hoped that more clinics like this will
enable a significant portion of the Hispanic population in New Mexico to have access to the
health care delivery system at the Health Sciences Center in a way that yields better
communication with health care providers and more compliance with treatment. If this model is
successful it will provide fertile ground for descriptive publications in the arena of culturally
competent interventions.
It is anticipated that, if clinics like the Spanish Speaking Clinic are successful, the Health
Sciences Center’s clinical enterprise will focus on more appropriate culturally sensitive and
culturally competent interventions.
Research
Clinics like the Spanish Speaking Clinic continue to provide a forum for understanding and
investigating differences in treatment and outcome in the Hispanic and Mexican-American
populations of the Southwest.
34
UNIVERSITY HOSPITAL CONSULTATION PSYCHIATRIC SERVICE
(ADULT CL)
ACADEMIC YEAR 2012-2013
DAVIN QUINN, M.D., MEDICAL DIRECTOR
The Adult Psychiatric Consultation Service provides psychiatric services and psychiatric
education at University Hospital, and is the clinical conduit between inpatient UH and the
University Psychiatric Center.
The clinical caseload includes highly acute psychiatric patients, such as those who have made
suicide attempts severe enough to warrant medical hospitalization; legally and ethically complex
cases in which a patient’s decisional capacity is in question; cases of difficult interpersonal
interactions between patients, their families and hospital personnel; and management of agitated
and violent patients. The service also offers expertise in diagnosing and treating neuropsychiatric
sequelae of medical, surgical, obstetrical, and neurological disorders, including: delirium,
epilepsy, traumatic brain injury, stroke, infections, cancer, immune disorders, cardiovascular
disease, chronic pain, and toxic syndromes. The service manages major Axis I psychiatric
disorders in patients hospitalized for medical or surgical reasons. Studies have shown that
intervention from Consultation Psychiatry decreases the length of inpatient medical
hospitalizations. The Psychiatric Consultation Service saw approximately 1,400 initial
consultations in 2012-2013.
Notable changes to the service from the previous year include the graduation of the UNM
Psychosomatic Medicine Fellowship Program’s first fellow, Dr. Brant Hager; completion of a
Rapid Improvement Exercise to increase the efficiency and cost-effectiveness of the service; and
continued collaboration with various medical and surgical teams, including the Epilepsy Surgery
Division, the Movement Disorders Service, and the Renal Transplant Service. The consultation
service maintains a database of all consultations and follow-up visits with information on
diagnosis, length of stay, and complexity; the outpatient consultation clinic (the Somatic
Disorders Clinic) continues to be a teaching rotation for both residents and fellows; the
neuropsychiatry interest group for psychiatry trainees and faculty meets monthly and pulls
interested parties from neurology and neuropsychology; and a new monthly psychosomatic
journal club has been initiated.
Rotating through our service are medical students, psychology interns, and residents from
Psychiatry and Family Practice. We also provide education about psychiatry to hospital
physicians and staff.
PERSONNEL:
Davin Quinn, M.D., Medical Director; Janet Robinson, Ph.D., Chief Administrator and Staff
Psychologist; Brant Hager, M.D., Staff Psychiatrist; Gray Clarke, M.D., Staff Psychiatrist;
Alfredo Aragon, Ph.D., Staff Psychologist; Nicole Duranceaux, Ph.D.; Marjorie Buck, R.N.,
M.N.C.S.; Kathryn Kaminsky, R.N., M.S., C.S.; Jane Penrod, A.P.R.N.; Judy Fleischman, M.A.,
L.P.C.C.; Nancy Miller, Secretary.
35
GEROPSYCHIATRY SERVICES
ACADEMIC YEAR 2012-2013
WILLIAM APFELDORF, M.D., Ph.D., GEROPSYCHIATRY CHIEF
The Geropsychiatry Service provides mental health services, through a multidisciplinary team of
geriatric psychiatrists, geriatricians, nurses, social workers, and case managers, to patients age 65
and older. It continues to combine an appreciation of patients’ medical status as well as caring
for their psychiatric needs. Dr. William Apfeldorf leads the Geropsychiatry Service which
includes the geropsychiatry inpatient service, the outpatient Senior Clinic, and Senior Clinic
extension to Manzano del Sol nursing home. This organization provides vertical integration for
those patients who may need to access different levels of service to best meet their psychiatric
needs. Dr. Aaron Brodsky and Dr Mohamad Khafaja serve as attending psychiatrists for the
geriatric psychiatry inpatient service and as consultant geropsychiatrists for Manzano del Sol
Nursing Home. Dr. Christopher Abbott serves as chief of Seniors Clinic and is the chief
attending psychiatrist for the Electroconvulsive Therapy (ECT) Service. He has also begun
collaborative research at the MIND Institute targeting psychosis in the elderly. Dr. Fazal Khan
joined our faculty to serve the newly established geropsychiatry inpatient service at Sandoval
Regional Medical Center.
Referrals come from many sources, including University Psychiatric Center’s Intake and General
Clinic Services, the geropsychiatry inpatient services, other components of UNM Health
Sciences Center and from providers throughout the county and state.
The Geriatric Psychiatry Fellowship program, accredited by ACGME, is now funded by
University Hospital and the Ralph Murphy VA Medical Center. Working closely with Drs.
Howard Berger and Christina Trevino at the VA, this program provides clinical training in this
underserved field, especially critical given the rapid increase in the New Mexico senior
population and the lack of services or infrastructure to meet their needs. Geriatric Medicine
fellows continue to rotate through the inpatient unit. This has enhanced the medicine/psychiatric
care interface for patients. Additionally, the ties between the University Psychiatric Center and
the Senior Health Clinic continue to strengthen.
Services
• Inpatient psychiatric services for evaluation and stabilization of acute psychiatric
problems provided by an interdisciplinary team led by a geropsychiatrist
• Individual outpatient medication management by a geropsychiatrist
• Outpatient RN monitoring including medication monitoring, and follow-up visits
• Geriatric psychiatry consultations for Manzano del Sol Nursing Home
• Psychotherapy, both individual and group
• Senior case management services
Future Planning
To better align the organization of geropsychiatry services to reflect the span and missions of
UNM School of Medicine, HSC and Medical Group, the group seeks to structure as a Division to
better collaborate with groups across our multiple campuses.
36
UNIVERSITY PSYCHIATRIC CONSULTANTS
ACADEMIC YEAR 2012-2013
JEFFREY KATZMAN, M.D., MEDICAL DIRECTOR
The University Psychiatric Consultant (UPC) Clinic is a faculty-run practice located within the
Department of Psychiatry on the 4th Floor of the Family Practice and Psychiatry Building. The
clinic provides services Monday through Friday. Administrative support for UPC includes a
clinic supervisor, scheduling services and psychiatric nursing support.
Clinical Services
The UPC Clinic delivers outstanding clinical services provided by Department faculty across a
range of specialty services including general adult, geriatric and child & adolescent psychiatry.
UPC clinic services include evaluation and treatment with psychopharmacology and
psychotherapy. Although faculty members will provide consultation and evaluation to a variety
of patients and providers, the clinic continues to ensure that University of New Mexico staff,
faculty and students receive priority access to clinical services.
In addition, the clinic continues to provide timely and convenient clinical support to both
Undergraduate and Graduate Medical Education for house staff and medical students in need of
psychiatric care. Faculty provide emergent same-day evaluations to residents throughout the
School of Medicine. The UPC enjoys an outstanding reputation especially among UNM
employees and families who utilizing these valuable and increasingly rare clinical services.
Given continued outreach to the community, the Department anticipates a growing demand for
services in this clinic over the coming year. This has been accelerated in part through ongoing
outreach and communication to New Mexico through various programs in the Department of
Psychiatry.
Finally, the clinic serves as a referral source for the entire city of Albuquerque. Many of these
patients cannot be seen by Department faculty, but a referral is always made, and these patients
generally let us know that this clinic was the only place that they could find someone to help
them through the maze of psychiatric services in Albuquerque.
37
CENTER for NEUROPSYCHOLOGICAL SERVICES
ACADEMIC YEAR 2012-2013
RICHARD CAMPBELL, Ph.D., DIRECTOR
The Center for Neuropsychological Services (CNS) provides inpatient/outpatient
evaluations/consultations for conditions including: epilepsy, dementia, Parkinson’s, TBI,
neurodevelopmental disorders and complex psychiatric disorders; pre-and post-surgical
evaluations and Wada testing for the HSC Epilepsy Surgery Program; pre-surgical evaluations
for patients considered for deep brain stimulation; and consultation via contracts with the
Transdisciplinary Evaluation and Support Clinic (TEASC)/Special Needs Clinic and the UNM
Pediatrics Young Enduring Survivors Clinic. CNS had a 20% increase in referrals received
compared to FY 2012-2013. In FY 2013-2014, we are collaborating with UNM Neurology to
establish a multidisciplinary memory disorders clinic and with UNM Truman Center to provide
neuropsychological services for individuals with HIV/AIDS. We will also be conducting a statewide needs assessment regarding youth sports concussion and mild TBI in veterans and
developing a multidisciplinary tele-health concussion clinic to extend the availability of
specialized clinical care to rural/frontier regions of New Mexico.
Education: CNS faculty participated in the Clinical Psychology Pre-doctoral Internship Program
and the Child Psychiatry Fellowship; led seminars and weekly case conferences, provided
lectures, and supervised interns; was a primary clinical training site for one pre-doctoral intern in
pediatric neuropsychology and practicum placement for one UNM Psychology graduate student;
had two full-time post-doctoral neuropsychology fellows; and was a rotation site for one UNM
Pediatric Neurology Fellow. CNS faculty served on dissertation committees and provided
lectures and presentations to UNM departments and organizations. We successfully filled our
vacancies for two new post-doctoral neuropsychology fellows and one predoctoral intern in
pediatric neuropsychology through national matches.
Research: CNS faculty conducted research as a principal investigator or co-investigator on the
following projects:
• External funded (NIH, CoBRE, private foundation) studies of the neuropsychological and
neurophysiological correlates of brain-behavioral abnormalities in co-morbid schizophrenia
and alcohol dependence (R. Thoma, PI), neuroprotective effects of erythropoietin on the
neurocognitive outcome of premature infants (R. Campbell, Co-investigator), dyslexia (D.
Hill) and myotonic dystrophy (R. Campbell)
• UNM-funded (CTSC; RAC) research of the neuropsychological and neuroimaging correlates
of sports concussion in collegiate athletes (R. Campbell, PI, R. Thoma, J. King coinvestigators) and ECT in major depressive disorder (R. Thoma).
• CNS faculty in the last year authored or co-authored 6 peer-reviewed articles (1 of which is
in press), 1 book chapter (E.Coman), two presentations to professional meetings (R.Thoma,
R. Campbell) and submitted five grants for extramural funding (1 CoBRE grant-funded; 3
pending).
Community Outreach: CNS staff/faculty presented to the New Mexico Brain Injury Advisory
Council on sports concussion/mild traumatic brain injury (R. Thoma & R. Campbell).
38
DEVELOPMENTAL DISABILITES (ADULT) and NEUROPSYCHIATRY
ACADEMIC YEAR 2012-2013
ALYA REEVE, M.D., M.P.H., SECTION CHIEF
Services to persons with developmental disabilities and mental illness are provided in close
collaboration with the Departments of Neurology, Family and Community Medicine, and
Pediatrics. This reflects sources of funding for the different clinical disciplines and the need to
integrate expertise from many disciplines to provide effective assessment and care.
Clinical Services: Dr. Reeve, Dr. Weil (director), and Kathleen Crisp, RN staff weekly Mental
Illness and Developmental Disability (MI-DD) clinics at the UNMPC. Residents, medical
students, and psychology interns participate on elective rotations. Drs. Helene Silverblatt and
Gail Thaler continue with the TEASC team. Dr. Reeve provides neuropsychiatric consultations
to persons with traumatic brain injury and epilepsy and DD. She participates, with Dr. John
Adair and Dr. Amanda Deligtisch (director) in the multi-disciplinary HD Clinic.
Neuropsychology Services: The Center for Neuropsychological Services provides evaluations;
cognitive evaluations on children or adults receiving DD services through a contract with
TEASC; and intellectual and adaptive behavior assessments. It is also a training site.
Research: Dr. Reeve and the core team furthered the development of telehealth services in the
DDMI project. On-going analysis and second-wave evaluation is in process. Drs. King, Thoma,
and Campbell are collaborating in a study of concussion in college athletes. Dr. Hill is
conducting an ongoing study in assessment and treatment of children with autism. Dr. Reeve
collaborated with Family Services Agency of San Francisco in writing and submitting a grant to
PCORI, which was funded for three years starting July 1, 2013, to research an evidence-based
model of training care managers to improve alliance with their clients for stronger consumer
wellness and outcomes.
Teaching: Neuropsychology Services & Psychiatry Services: Activities included
participation in the seminar for PGY-III and IV residents in Neuropsychiatry, workshops and
presentations on mental illness sponsored by the Continuum of Care Project, standards for
neuropsychological testing, and evaluation procedures. Ad hoc clinical consultations in person
and by phone to residents and colleagues increase capacity and knowledge of clinical services in
supporting people with I/DD.
Collaboration: All faculty members have served on committees and subcommittees working
actively to address the concerns of persons with I/DD with state agencies, planning groups for
the change in Behavioral Health Services, and within and between departments in the UNM
School of Medicine and University Hospital.
Current/Future: DDMI Project – Telehealth an in-person clinical follow-up occur with
collaboration from DDSD; the DDMI-telehealth user group meets monthly. Dr. Reeve continues
as PI for the Continuum of Care. She is seeking grant funding for their projects. Drs. Reeve,
Campbell, and Thoma collaborate within HSC and local organizations for improved patient
services, training, and preventative research projects. They mentor graduate and undergraduate
student projects, and faculty across departments at UNM.
39
ADDICTION PSYCHIATRY
ACADEMIC YEAR 2012-2013
MICHAEL BOGENSCHUTZ, M.D.,
VICE-CHAIR for ADDICTION PSYCHIATRY
The Addiction Psychiatry program provides, in an environment of personal and cultural respect,
quality services to individuals and families affected by addictive and associated disorders and
excellent training opportunities to medical students, residents, fellows, and allied professionals,
to improve the quality of addiction treatment throughout the state. It works to increase
understanding of addiction and addiction treatment through clinical and basic scientific research
and to collaborate with other organizations to achieve these missions as effectively as possible.
Significant Changes and Accomplishments in Year 2012-2013
• ASAP secured a new location (2600 Yale SE) and developed plans to relocate in Sept. 2013.
• Increased addiction psychiatry participation in Project ECHO grant from General Electric to
support development addiction treatment capacity in primary care settings (Dan Duhigg)
• New Faculty member Zoran Vukadinovic joined the faculty August 2012.
• Two addiction psychiatry fellows recruited to begin July 1, 2013.
• Completed follow-up for NIDA Clinical Trials Network Protocol 0047: Screening,
Motivational Assessment, Referral and Treatment in Emergency Departments
(Bogenschutz, Lead Investigator). UNMH ED is served as one of 6 sites for this protocol.
• Selected as a site for NIDA Clinical Trials Network Protocol 0051: Extended-Release
naltrexone vs. Buprenorphine for Opioid Treatment.
• New grant awards submitted awarded or pending, including:
o Wilcox K23 application “Neural Mechanisms of Change During the Treatment of
Alcohol Use Disorders with Prazosin” was funded and began Dec 1 2012.
o Bogenschutz R01 proposal “Comparing Interventions for Opioid Dependent Patients
Presenting in Medical EDs” (score of 25) funding decision was pending.
o 2 grant proposals were submitted to fund Bogenschutz international study “An
international trial comparing treatments for seniors with alcohol use
disorder.” U01 grant proposal was submitted to NIAAA but was not funded.
However, subaward from University of Southern Denmark is pending.
Plans for Academic Year 2013-2014
• Relocate ASAP facility to new site–estimated completion date Sept. 2013.
• Expand adolescent outpatient services at ASAP and/or at new satellite clinic.
• Recruit new faculty member with expertise in adolescent addictions treatment and research.
• Implement newly-funded grants and resubmit applications if necessary.
• Grant submissions
o Bogenschutz “A double-blind trial of psilocybin-assisted treatment of alcohol
dependence,” grant proposal for multi-site trial will be submitted to Heffter
Research Institute November 2013.
o Forcehimes PCORI grant submission Spring 2014: “Developing an instrument to
assess addiction treatment preferences.”
• Increase collaboration on research with the Center for Rural and Community Behavioral
Health.
40
CENTER for RURAL & COMMUNITY BEHAVIORAL HEALTH
(CRCBH)
ACADEMIC YEAR 2012-2013
CAROLINE BONHAM, M.D., DIRECTOR
DEBORAH ALTSCHUL, Ph.D, DEPUTY DIRECTOR
The Center addresses health care disparities through: research and evaluation; training and
workforce development; and increasing access to quality behavioral health services that are
holistic, cost-effective and provided with respect to cultures and communities.
Faculty and Staff: Serina Apodaca, Joanne Baca de Holguin, Erica Baxter, Tara Biehl, Doreen
Bird, Maria Yellow Horse Brave Heart, Jonathan Bolton, Flor Cano-Soto, Tazalyn Cochise,
Ernest Coletta, Jennifer Crawford, Annette Crisanti, Raven Cuellar, Eloise Damon, Cheryl
Drapeau, Jeff Dunn, Mallory Fallin, Marsha Freeman, Joanna Garcia, Jessica Goodkind, Beverly
Gorman, Debra Heath, Cindy Houghton, Brian Isakson, Kate Kostroski, Sheri Lesansee,
Schartelle Lester, Daniel Michel, Margaret Migliorati, Joe Moreno, Ben Moser, Michael Neal,
Samantha Pasena, Clint Pyeatt, Lee Ann Raztlaff, Alya Reeve, Laura Rombach, Lorena Saenz,
Julie Salvador, Tammy Seaman, Helene Silverblatt, Elizabeth Stein
2012-2013 Highlights
• Development of a statewide youth council in association with Honoring Native Life
• National expansion of telehealth education series for providers in rural and tribal
communities in partnership with IHS Telebehavioral Health Center of Excellence
• New funding including:
- Addressing Childhood Trauma through Intervention, Outreach and Networking
(ACTION) (Sabu and Isakson), SAMHSA
- Affordable Care Act: NM-MPOWR: Managing Patient Outcomes toward Wellness &
Recovery (Reeve), Family Service Agency of San Francisco, PCORI Subaward
- Affordable Care Act: Patient-Centered Trauma Treatment for PTSD and Substance
Abuse: Is It an Effective Treatment Option? (Crisanti), PCORI
- Iwankapiya – Healing: Historical Trauma Practice and Group Interpersonal Therapy for
American Indians (Brave Heart) NIMH
- New Mexico SBIRT (Screening, Brief Intervention, and Referral to Treatment)
(Altschul, Kriechman, Isakson), NM DOH, SAMHSA Subaward
- Perceived Impact of Mental Health First Aid on Mental Health Literacy: A Pilot Study
of Race/Ethnicity and Urban/Rural Differences (Crisanti), Clinical Translational
Science Center, University of New Mexico
- UNM New Mexico Learning & Evaluation Consortium (Altschul, Goodkind), W.K.
Kellogg Foundation
Significant Plans for 2013-2014:
• Continued expansion of tribal suicide prevention partnership efforts, to include focus on
enhancing local capacity in evaluation and development of community advisory council
• Expand and develop statewide, regional and national training initiatives and systems
• Expand grant efforts focused on health disparities and community priorities
• Expand clinical efforts to support integration with behavioral health and primary care and
early intervention for individuals at risk of psychosis
41
DIVISION of CHILD and ADOLESCENT PSYCHIATRY
ACADEMIC YEAR 2012-2013
DAVID A GRAEBER, M.D.
DIVISION DIRECTOR
Significant Changes FY12-13:
Faculty:
• Recruited Shawn Sidhu, M.D. to the faculty
• Lorerky Ramirez-Moya, M.D. dropped from .60 FTE to .50 FTE
Clinical:
• We have had major infrastructure challenges at CPH (flooding, air quality challenges)
over the past 12 months and have been able to run only 3 acute units for part of the year.
• Optum Health New Mexico’s time demand on faculty continues to result in a very
challenging level of administrative burden including increased frequency of peer reviews
for inpatient services.
• Expanded Child Psychiatry outpatient services to facilitate assessments and
psychopharmacology services to outside community agencies.
Educational:
• The Division recruited two first-year fellows and retained four second year fellows
• The Division continued to expand the outpatient rotation experiences for fellows, general
residents, medical students and PA students.
Research:
• SAMSHA “National Child Traumatic Stress Initiative, Category III, Community
Treatment and Services Grant” awarded with Rashmi Sabu, M.D. PI.
• UNM HSC CTSC Grant: “A Culturally Sensitive Attachment-Based Parenting
Intervention in Depressed Hispanic Mothers”; Anilla Del Fabbro, M.D. PI.
Significant Plans FY13-14:
Faculty:
• Giselle Ferreria, M.D. will join the faculty in October of 2013.
Clinical:
• Restructure of outpatient clinics with an emphasis on EBM practices continues.
• We will implement CPH clinical pathway to streamline administrative, clinical and
disposition processes to reflect shorter length of stays.
• Work with UNMH to improve infrastructure of inpatient/outpatient facilities.
Educational:
• Recruit five first-year fellows and retain existing four first-year fellows into second year
of fellowship.
Research:
• Increase publications by Child faculty members.
• Increase grant submissions by Child Faculty Members.
42
UNIVERSITY HOSPITAL PSYCHOSOMATIC
MEDICINE SERVICE (CHILD)
ACADEMIC YEAR 2012-2013
SCOTT CARROLL, M.D.
MEDICAL DIRECTOR
The Child and Adolescent Psychosomatic Medicine Service (PSM), formally known as the Child
and Adolescent Consult/Liaison Service, provides psychiatric evaluations, behavioral
management, neuropsychiatric and psychosomatic evaluation and treatment and coordinates both
outpatient and inpatient psychiatric aftercare to children and adolescents hospitalized at the
Children's Hospital of New Mexico and Carrie Tingley Hospital. Participation in patient care
conferences, teaching, and support to medical and nursing staff are other services routinely
provided.
Education
All first-year child psychiatry fellows and pediatric neurology fellows rotate through the Child
PSM Service; general psychiatry residents, medical students and psychology interns may also
elect to do so. During the rotation, fellows, residents and interns are able to conduct psychiatric
consultations in supervised settings and develop useful skills and experience working with
medically ill children and their families.
Clinical Services
Patients and families served by the Child and Adolescent Psychosomatic Medicine Service are
representative of the most acutely ill and psychosocially complicated patients in New Mexico.
Children who have survived a serious suicide attempt, medically noncompliant children with
severe disorders such as diabetes, cystic fibrosis and organ transplant; along with gravely ill
children with cancer are among those treated by the Child and Adolescent PSM Service.
Children traumatized by injuries from motor vehicle accidents, burns, and dog mauling are
routinely evaluated and treated. Our service also provides assistance to terminally-ill children, as
well as to their parents and siblings during the final weeks and days of life. Approximately 246
consults were performed this year. Some were seen only once, but most were seen multiple times
over the patient's hospitalization.
Dr. Carroll, with the assistance of a psychotherapist, has also partnered with multiple clinical
services within UNM Hospital, both pediatric and adult (for young adults - 18 to 21 years old and chronically ill teens transitioning to adult care) as well as allied health services to provide
carefully coordinated care to the most complex and ill young patients and their families in the
Southwest. Dr. Carroll has a special expertise in working with pediatric oncology and
hematology patients and 4 years ago started the Pediatric Psycho-Oncology Clinic that is
embedded in the Pediatric Oncology clinic, where he currently cares for ~75 pediatric oncology
patients and their families.
43
RAYMOND G. MURPHY VA MEDICAL CENTER
ACADEMIC YEAR 2012-2013
RODRIGO ESCALONA, M.D., CHIEF OF PSYCHIATRY SERVICE AND
DIRECTOR OF BEHAVIORAL HEALTH
The Behavioral Health Care Line (BHCL) at the New Mexico VA Health Care System provides
Recovery-oriented Behavioral Health services at the VAMC in Albuquerque as well as in
thirteen community outreach clinics in New Mexico and Southern Colorado.
The Raymond G. Murphy VAMC Acute Psychiatry Inpatient unit operates 26 beds and provides
inpatient experience for PGY-1 Psychiatry residents and for trainees from other disciplines.
The Service continues to have strong, growing training opportunities for residents and fellows:
• BEACON team – providing psychiatric consultation to the emergency department and
outpatient clinics. Offers outpatient consultation rotation for PGY-3 Psychiatry residents.
• Consultation Service – now offers rotation for PGY 1 and PGY2 residents.
• VA Behavioral Health Outpatient Programs – offers clinical electives for PGY-3s in the
Military Trauma Treatment and the Women’s Stress Disorder Treatment Team;
Substance Use Disorder Program; Telemental Health Program; Specialty Mental Health
• The Psychiatry Primary Care clinic – training for interns in Psychiatry and Primary Care
• BHCL’s Outreach programs – for PGY-3 residents this year in settings including Health
Care for Homeless Veterans program and the MHICM program, an Assertive Community
Treatment model serving the seriously mentally ill Veteran population
• The Primary Care Mental Health Integration team – outpatient clinical elective for PGY3 residents this year offering a model of co-located, collaborative mental health care
within the primary care team setting
• Substance Use Disorders (SUD) program – offers clinical rotations for the Addiction
Fellowship Program.
VA researchers, led by Dr. José Cañive and, neuropsychologist Dr. Kathleen Haaland, continue
to be highly productive with numerous active studies and publications in the past year. The focus
of current VA research includes the following clinical areas: cognitive behavioral and
psychopharmacological treatments in PTSD; auditory processing abnormalities and novel
pharmacological treatments in schizophrenia and stroke rehabilitation, neurocognitive function.
Plans FY 2013-2014
This year the VA finished construction on a 10-bed Geriatric Psychiatry inpatient unit expected
to open in November 2013. Two Geriatric Psychiatrists were hired to staff the unit and enhance
our outpatient and consultation service to this population. The new staff will be involved in
teaching and resident supervision as well as fellowship training and they will join the faculty at
UNM.
44
DEPARTMENT RESEARCH COMMITTEE
ACADEMIC YEAR 2012-2013
KATHLEEN HAALAND, Ph.D., DIRECTOR
The Psychiatry Department Research Committee is responsible for the scientific review of all
department research proposals prior to submission to the Human Research Review Committee
(HRRC). Twelve proposals were reviewed this year.
The Committee continues to use an efficient review process that minimizes overlap with other
research committees and provides rapid review. Protocols that have been scientifically reviewed
by other intramural or extramural review boards are given an expedited review. All proposals are
reviewed by one member of the psychiatry research committee. After a proposal is approved, it
is sent to the HRRC under the Department Chair’s signature.
Committee Members
Kathleen Haaland, Ph.D., Chair
Chris Abbott, M.D.
Bob Bailey, M.D.
Juan Bustillo, M.D.
Annette Crisanti, Ph.D.
Alyssa Forcehimes, Ph.D.
Alya Reeve, M.D.
Robert Thoma, Ph.D.
Deborah Altschul, Ph.D.
Michael Bogenschutz, M.D.
Jose Canive, M.D.
Jan Fawcett, M.D.
Dina Hill, Ph.D.
Joseph R. Sadek, Ph.D.
Claire Wilcox, M.D.
Resident Research Award
Selection of the recipient of this award is made by the Research Committee based upon
nomination by faculty members of a resident’s contribution to research. The Award was
instituted to recognize outstanding resident research, is announced at Psychiatry Graduation, and
includes a cash award. Nery A. Diaz, D.O., was the 2012-2013 recipient of the Award.
Rosenbaum Award – Clinical/Psychosocial Research in Psychiatry
Dr. Milton Rosenbaum, a member of the Department until his death in 2003, generously
provided substantial funding in perpetuity to support pilot projects in the area of clinical/
psychosocial research in psychiatry. Priority is placed on studies that provide data to initiate or
further a research career and will lead to applications for external funding for additional
investigation. All faculty and residents in the Department are encouraged to apply for seed grants
($4,000 or less) to support one-year projects. The research committee selects proposals based on
potential significance, scientific merit, feasibility, and potential to impact on future research
career.
Brian Isakson, Ph.D. and Denise Lin, M.D. were the 2012 recipients of the Rosenbaum Award to
support their research. Dr. Isakson’s proposal was titled “Developing a ‘Moving On’ Narrative
as an Engagement Tool for Treating Trauma”, and Dr. Lin’s proposal was titled “Cardiometabolic Disease Parameters, Vitamin D and Magnesium Status in Schizophrenia.”
45
DEPARTMENT of PSYCHIATRY
GRANTS/AWARDS
ACADEMIC YEAR 2012-2013
General Psychiatry
Deborah Altschul
San Felipe Pueblo ......................................................................................................$800,000
San Felipe System of Care – HOPAH (Helping Our People: Advocating Hope) ($200,000 per
year for four years)
W.K. Kellogg Foundation ..........................................................................................$538,404
Kellogg Mapping & Evaluation Consortium
New Mexico Children Youth & Families Department ..............................................$356,855
CYFD System of Care
San Felipe Pueblo ......................................................................................................$69,688
San Felipe Home Visiting Program
Native American Pueblo Parent Resources, Inc. ......................................................$25,000
NAPPR- Home Visiting (FY13)
Native American Pueblo Parent Resources, Inc. .......................................................$24,534
NAPPR: Home Visiting (FY12)
Pamela Arenella
Talaria, Inc. ...............................................................................................................$41,827
Adaptive Goal-directed Adherence Tracking and Enhancement
SBIR Phase II, NIAA 10-01
The Mind Research Network .....................................................................................$40,092
Effectiveness of Varenicline: Testing Individual Differences
Michael Bogenschutz
NIDA..........................................................................................................................$1,097,298
Clinical Trials Network Southwest Node
Caroline Bonham
Albuquerque Area Indian Health Service ..................................................................$356,137
IHS Tele-Behavioral Health Center of Excellence Project
Hidalgo Medical Services, Inc. ..................................................................................$13,634
Hidalgo Medical Services (Psychiatric Consultation)
NIH/National Institute of Mental Health ...................................................................$7,500
NIMH Outreach Partnership
Sangre de Cristo Community Health Partnership ......................................................$4,000
Sangre SBIRT (Screening, Brief Intervention, Referral and Treatment) Psychiatric Consultation
46
Juan Bustillo
The Mind Research Network .....................................................................................$368,259
ACAS-Bustillo-COBRE Neural Mechanisms of Schizophrenia: Use of Multiple Neuroimaging
Tools to Examine Dysfunction in Neural Integration
NIH/National Institute of Mental Health ...................................................................$304,538
Brain Glutamate and Outcome in Schizophrenia
Covance, Inc. .............................................................................................................$178,395
ARRIVE Clinical Trial Agreement Phase III
NIH/National Institutes of Health ..............................................................................$20,302
Brain Glutamate and Outcome in Schizophrenia
Shire Development Inc. .............................................................................................$1,000
Administrative Costs for Clinical Trial
Jose Canive
NIH/National Institutes of Health ..............................................................................$437,073
Schizophrenia Gating Deficit Mechanisms: Extending the Circuit
NIH/National Institute of Mental Health ...................................................................$29,138
Schizophrenia Gating Deficit Mechanisms: Extending the Circuit
Annette Crisanti
Patient Centered Outcomes Research Institute (PCORI)...........................................$1,485,830
ACA: Patient-Centered Trauma Treatment for PTSD and Substance Abuse: Is It an Effective
Treatment Option?
OptumHealth New Mexico ........................................................................................$91,072
Healthy Homes: The Peer Experts Supportive Housing Program Initiative
OptumHealth New Mexico ........................................................................................$25,000
Totah: Evaluation Deliverables for Supported Housing Program Located at Totah Behavioral
health Authority
Paula Hensley
Genentech, Inc. ..........................................................................................................$8,000
Clinical Trial Agreement Phase II
Forest Research Institute ............................................................................................$5,000
Clinical Trial Agreement
Dina Hill
Yale University ..........................................................................................................$20,000
Development of a Dyslexia Screening Test
The Mind Research Network .....................................................................................$14,756
Neurobiological Correlates of Language Dysfunction in Autism Spectrum Disorders
47
Brian Louis Isakson
OptumHealth New Mexico ........................................................................................$78,639|
Jail Diversion: Veteran First Jain Diversion
OptumHealth New Mexico ........................................................................................$50,000
VFSS: Veteran First and Family Support Services
Stephen Lewis
Feinstein Institute for Medical Research ...................................................................$45,502
Clinical Trial Agreement
Feinstein Institute for Medical Research ...................................................................$31,500
Clinical Trial Agreement
Feinstein Institute for Medical Research ...................................................................$20,200
ARRA: Clinical Trial Agreement
Alya Reeve
Family Service Agency of San Francisco, PCORI Subaward ...................................$720,919
ACA: NM-MPOWR: Managing Patient Outcomes toward Wellness & Recovery
Julie Griffin Salvador
OptumHealth New Mexico ........................................................................................$188,200
NIDA TCA – Building System Capacity to Implement EBPs Within a Community-based Q.I.
Model
OptumHealth New Mexico ........................................................................................$138,763
Substance Abuse, Pregnant and Post-Partum Women
OptumHealth New Mexico ........................................................................................$52,000
Total Community Approach
Helene Silverblatt
New Mexico Human Services Department................................................................$225,000
BHSD: Rural Public Psychiatry Residency Training – Behavioral Systems and Implementation
Consultation
Lindsay Smart
San Felipe Pueblo ......................................................................................................$193,932
San Felipe KEYWAH (Katisthya Embraces Youth, Wellness, and Hope Project)
Robert Thoma
The Mind Research Network .....................................................................................$125,778
Proj 5-Thoma-COBRE Neural Mechanisms of Schizophrenia: Use of Multiple Neuroimaging
Tools to Examine Dysfunction in Neural Integration
The Mind Research Network .....................................................................................$1,350
Project 5 - Thoma - COBRE Neural Mechanisms of Schizophrenia: Use of Multiple
Neuroimaging Tools to Examine Dysfunction in Neural Integration
48
Claire Elizabeth Wilcox
NIH/National Institute on Alcohol Abuse and Alcoholism .......................................$180,013
Neural Mechanisms of Change During Treatment of Alcohol Use Disorder with Prazosin
The Mind Research Network .....................................................................................$39,524
Attentional Bias Modification: Efficacy and Mechanisms of Action in Cocaine Addiction
Child Psychiatry
Steven Adelsheim
OptumHealth New Mexico ........................................................................................$500,000
New Mexico Consortium for Behavioral Health, Training & Research Developmental
Support/Center for Rural & Community Behavioral Health (CRCBH/CBHTR)
New Mexico Human Services Department ...............................................................$142,348
HSD: Behavioral Health Consultant
Mescalero Apache Schools ........................................................................................$55,000
Mescalero SBHC (School-Based Health Center Project) (FY14)
La Buena Vida ...........................................................................................................$44,342
La Buena Vida
Feinstein Institute for Medical Research ...................................................................$32,561
Clinical Trial Agreement
Feinstein Institute for Medical Research ...................................................................$29,631
ARRA: Clinical Trial Agreement
Feinstein Institute for Medical Research ...................................................................$19,650
ARRA: Clinical Trial Agreement
Feinstein Institute for Medical Research ...................................................................$9,628
Clinical Trial Agreement
Anilla Del Fabbro
New Mexico Children Youth & Families Department ..............................................$63,100
Child rural Psychiatry (Fellows Training) Program
Avron Kriechman
New Mexico Department of Health / Office of School & Adolescent Health ..........$125,000
School-Based Tele-Behavioral Health Project
Rashmi Sabu
DHHS/Substance Abuse & Mental Health Services Administration ........................$399,706
Addressing Childhood Trauma through Intervention, Outreach, and Networking (ACTION)
49
SIGNIFICANT PLANS and RECOMMENDATIONS
ACADEMIC YEAR 2012-2013
MAURICIO TOHEN, M.D., DR.P.H., M.B.A., CHAIRMAN
The Department of Psychiatry is committed to developing programs that foster and reward
synergistic relationships among our primary goals in education, clinical service, and research.
We have set goals in these three areas and in the areas of administration and finance so that we
may continue to strengthen our contributions to our institution and our state within the context of
a dramatically changing health care system.
Educational Excellence
• Steve Lewis, M.D. promoted to Assistant to the Dean of Graduate Medical Education.
• Pamela Arenella, M.D. to become the Residency Training Director, July 1, 2013.
Clinical Care
Aligning with the strategic goals of UNM SOM, UNMMG and UH, the plan is to organize and
modernize the following services to provide better community engagement:
• HSC Geriatric Psychiatry Clinical Services (inpatient and outpatient)
• Sandoval Regional Medical Center psychiatric services
• Psychiatric Emergency Services
Create a Division of Geriatric Psychiatry
Create a Division of Addiction Psychiatry
Scholarship & Research
• Relocate ASAP facility to new site–estimated completion date Sept. 2013.
• Expand adolescent outpatient services at ASAP and/or at new satellite clinic.
• Recruit new faculty member with expertise in adolescent addictions treatment and research.
• Implement newly-funded grants and resubmit applications if necessary.
• Grant submissions
o Bogenschutz “A double-blind trial of psilocybin-assisted treatment of alcohol
dependence,” grant proposal for multi-site trial will be submitted to Heffter
Research Institute November 2013.
o Forcehimes PCORI grant submission Spring 2014: “Developing an instrument to
assess addiction treatment preferences.”
• Increase collaboration on research with the Center for Rural and Community Behavioral
Health.
CRCBH Significant Plans for 2013-2014:
• Continued expansion of tribal suicide prevention partnership efforts, to include focus on
enhancing local capacity in evaluation and development of community advisory council
• Expand and develop statewide, regional and national training initiatives and systems
• Expand grant efforts focused on health disparities and community priorities
• Expand clinical efforts to support integration with behavioral health and primary care and
early intervention for individuals at risk of psychosis
50
Child/Adolescent Significant Plans FY13-14:
Faculty:
• Giselle Ferreria, M.D. will join the faculty in October of 2013.
Clinical:
• Restructure of outpatient clinics with an emphasis on EBM practices continues.
• We will implement CPH clinical pathway to streamline administrative, clinical and
disposition processes to reflect shorter length of stays.
• Work with UNMH to improve infrastructure of inpatient/outpatient facilities.
Educational:
• Recruit five first-year fellows and retain existing four first-year fellows into second year
of fellowship.
Research:
• Increase publications by Child faculty members.
• Increase grant submissions by Child Faculty Members.
Planned Public Events
“We Need to Talk”
• “Suicide: Risk Factors and Strategies for Prevention,” Maria A. Oquendo, M.D.
Professor of Clinical Psychiatry at Columbia University; Vice Chair for Education and
Director of Residency Training at The New York State Psychiatric Institute
•
Jeffrey Swanson W. Swanson, Ph.D., M.A.
Professor in Psychiatry and Behavioral Sciences, Duke University
•
Nora D. Volkow, M.D.
Director, National Institute on Drug Abuse (NIDA) at the National Institutes of Health
51
HIGHLIGHTS AND MAJOR ACCOMPLISHMENTS
ACADEMIC YEAR 2012-2013
MAURICIO TOHEN, M.D., DR.P.H., M.B.A., CHAIRMAN
Educational Highlights
• Exceeded ACGME accreditation expectations and requirements
• Recruited four first-year fellows and retain existing four first-year fellows into second
year of fellowship in Child and Adolescent Psychiatry
• The Division continued to expand the outpatient rotation experiences for fellows, general
residents, medical students and PA students.
Clinical Highlights
• Opened 12-bed Geriatric Psychiatry unit at Sandoval Regional Medical Center
• Continued planning and construction for new ASAP facility
• Restructured Child and Adolescent outpatient clinics with an emphasis on EBM practices
• Continued work with Veterans Administration Medical Center for 10-bed Geriatric
Psychiatry Inpatient Unit to open in 2013
• Continued to align with the strategic goals of UNM SOM, UNMMG and UH, to organize
and modernize the following services:
o HSC Geriatric Psychiatry Clinical Services (inpatient and outpatient)
o Sandoval Regional Medical Center psychiatric services
o Psychiatric Emergency Services
• Expanded Child Psychiatry outpatient services to facilitate assessments and
psychopharmacology services to outside community agencies.
Research Highlights
• ASAP secured a new location (2600 Yale SE) and developed plans to relocate in Sept. 2013.
• Increased addiction psychiatry participation in Project ECHO grant from General Electric to
support development addiction treatment capacity in primary care settings (Dan Duhigg)
• New Faculty member Zoran Vukadinovic joined the faculty August 2012.
• Two addiction psychiatry fellows recruited to begin July 1, 2013.
• Completed follow-up for NIDA Clinical Trials Network Protocol 0047: Screening,
Motivational Assessment, Referral and Treatment in Emergency Departments
(Bogenschutz, Lead Investigator). UNMH ED is served as one of 6 sites for this protocol.
• Selected as a site for NIDA Clinical Trials Network Protocol 0051: Extended-Release
naltrexone vs. Buprenorphine for Opioid Treatment.
• New grant awards submitted awarded or pending, including:
o Wilcox K23 application “Neural Mechanisms of Change During the Treatment of
Alcohol Use Disorders with Prazosin” was funded and began Dec 1 2012.
o Bogenschutz R01 proposal “Comparing Interventions for Opioid Dependent Patients
Presenting in Medical EDs” (score of 25) funding decision was pending.
o 2 grant proposals were submitted to fund Bogenschutz international study “An
international trial comparing treatments for seniors with alcohol use
disorder.” U01 grant proposal was submitted to NIAAA but was not funded.
However, subaward from University of Southern Denmark is pending.
52
•
•
SAMSHA “National Child Traumatic Stress Initiative, Category III, Community
Treatment and Services Grant” awarded with Rashmi Sabu, M.D. PI.
UNM HSC CTSC Grant: “A Culturally Sensitive Attachment-Based Parenting
Intervention in Depressed Hispanic Mothers”; Anilla Del Fabbro, M.D. PI.
CRCBH 2012-2013 Highlights
• Development of a statewide youth council in association with Honoring Native Life
• National expansion of telehealth education series for providers in rural and tribal
communities in partnership with IHS Telebehavioral Health Center of Excellence
• New funding including:
- Addressing Childhood Trauma through Intervention, Outreach and Networking
(ACTION) (Sabu and Isakson), SAMHSA
- Affordable Care Act: NM-MPOWR: Managing Patient Outcomes toward Wellness &
Recovery (Reeve), Family Service Agency of San Francisco, PCORI Subaward
- Affordable Care Act: Patient-Centered Trauma Treatment for PTSD and Substance
Abuse: Is It an Effective Treatment Option? (Crisanti), PCORI
- Iwankapiya – Healing: Historical Trauma Practice and Group Interpersonal Therapy for
American Indians (Brave Heart) NIMH
- New Mexico SBIRT (Screening, Brief Intervention, and Referral to Treatment)
(Altschul, Kriechman, Isakson), NM DOH, SAMHSA Subaward
- Perceived Impact of Mental Health First Aid on Mental Health Literacy: A Pilot Study
of Race/Ethnicity and Urban/Rural Differences (Crisanti), Clinical Translational
Science Center, University of New Mexico
- UNM New Mexico Learning & Evaluation Consortium (Altschul, Goodkind), W.K.
Kellogg Foundation
Academic Affairs and Administration
• Promoted eight faculty members
• Recruited graduates from our own residency program to faculty positions
53
FACULTY/STAFF/RESIDENT ACCOMPLISHMENTS
ACADEMIC YEAR 2012-2013
MAURICIO TOHEN, M.D., DR.P.H., M.B.A., CHAIRMAN
Faculty
Christopher Abbott, M.D, M.S.
PI on a three-year grant from the Dana Foundation as part of The David Mahoney Neuroimaging
Program.
Steve Adelsheim. M.D.
American Academy of Child & Adolescent Psychiatry (AACAP) 2012 Sidney Berman Award
for the School-Based Study and Intervention for Learning Disorders and Mental Illness
Deborah Altschul, Ph.D.
Presented at symposium that was part of the festivities marking the inauguration of UNM’s new
President Robert G. Frank
Snehal Bhatt, M.D.
Selected to participate in the UNM Medical Education Scholars Program (MES).
Scott Carroll, M.D.
Appointed Chair of the Medical Student Committee for Student Promotions and Evaluation
(CPSE) for the UNM School of Medicine.
Anilla Del Fabbro, M.D.
Selected to participate in the UNM Medical Education Scholars Program (MES).
Deborah Dellmore, M.D.,
Selected for UNM Health Sciences System’s Inaugural Medical Leadership Training Academy
Chair of the UNM School of Medicine Curriculum Committee.
Kathleen Haaland, Ph.D.
Distinguished Lifetime Contribution to Neuropsychology Award from the National Academy of
Neuropsychology
Davin Quinn, M.D.,
Selected for UNM Health Sciences System’s Inaugural Medical Leadership Training Academy
Joseph Sadek , Ph.D.
Board of the Biomedical Research Institute of New Mexico (BRINM).
Mauricio Tohen, M.D., Dr.P.H., M.B.A.
Board of the Biomedical Research Institute of New Mexico (BRINM).
Claire Wilcox, M.D.
K23 mentored career development award from the National Institute on Alcohol Abuse and
Alcoholism (NIAAA)
54
Donna Sigl, M.D.
Chief of Staff
Selected for UNM Health Sciences System’s Inaugural Medical Leadership Training Academy
Staff
Judith Rivera-Kamps
"Excellence in Medical Residency Coordination” from SOM GME office
Patrick J. Gallegos
2013 NBCC Foundation Military Award
Michael A. Hunter
National Science Foundation (NSF) Graduate Research Fellowship
Residents
Caitlin Dufault, MD,
Rappeport Fellowship from the American Academy of Psychiatry and the Law
Paul Romo,
Recognized for his contribution to SOM GME Office
55