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
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