2008 U.S. Psychiatric & Mental Health Congress Conference & Exhibition

24-1 Practice Management Series 1C: Getting Paid: Coding, Contracting, and Negotiating PI This program will look in-depth at contract terms and issues surrounding managed care contracting. Strategies that may be applied to various practice environments, from the solo to larger group, will be discussed. Successful negotiations can be built on relationships as well as facts, and this session will explore both aspects. Participants can look forward to returning to their practices armed with tools to assist in improving cashflow. Come prepared to ask questions! By participating in this activity, attendees will be able to: 1) Understand in detail the relationship between coding and reimbursement; 2) Determine whether the practice should negotiate under certain common sets of circumstances; and 3) Pursue sound contract terms and strategies related to managed care contract negotiations. popularity of a socially designated class of drugs known as "club drugs.” By participating in this activity, the attendees will be able to: 1) Discuss the major categorization of club drugs and their pharmacological properties; 2) Identify the clinical and psychiatric manifestations of club drugs; and 3) Recognize available treatment approaches and harm reduction and prevention strategies. Discuss the status of new drugs in development by drug class and their clinical indications; 2) Recognize the drugs that are competing for the same indications; and 3) Identify the upcoming first-in-class compounds with novel mechanisms of action and how soon they will have a clinical market impact. 1:15-3:15 p.m. 25-4 Resident Fellows Forum PI 2.0 credits 24-5 24-6 Psychiatry’s Role in Internet Child Pornography Cases GP The Neuropsychiatry of PTSD NP PD 24-2 24-3 Mental Health Reform in Africa and Asia: Case Studies in Local to Global Policy and Practice SC A 'Hands On' Workshop for Diagnosing Fibromyalgia in Your Busy Practice NP Posttraumatic stress disorder can occur following a traumatic event. However, do we know what actually happens in the brain when a person develops PTSD? By participating in this activity, attendees will be able to: 1) Recognize structural areas underlying the neurobiological consequences of trauma; 2) Describe how those neurobiological consequences are manifested as what we call PTSD (or are not); and 3) Explain potential biological and nonbiological treatment approaches. :45-4:00 p.m. 26-1 A Busy Clinician’s ‘Treasure Chest’: Creating a Tool Box Filled With Screeners and Rating Instruments to Improve Patient Outcomes PI Both psychiatric and nonpsychiatric clinicians tend to underutilize screeners and rating instruments in their busy practices. This is an error worth rectifying expeditiously for the following reasons: use of screeners and rating instruments can actually improve outcomes, it can be very time efficient and many quality tools are available for no charge. This workshop will show videos of a few clinical scenarios and discuss what tools might have been appropriate to use. Copies of noncopyrighted screeners and rating instruments, appropriate for both psychiatric and nonpsychiatric settings, will be made available to participants. A toolkit filled of screeners and rating instruments will be brought to the workshop to show participants how they can create one for their own use. By participating in this activity, attendees will be able to: 1) Recognize the many noncopyrighted tools available for clinician use covering a range of psychiatric disorders; 2) Define these tools that are very time efficient and improve diagnostic yield; and 3) Describe how to choose the right tool and how to score them. 24-7 24-8 Fibromyalgia, while common in all clinical settings, is frequently missed as there is lack of familiarity with the tender point examination recommended by the American College of Rheumatology (ACR). In this true ‘hands on’ workshop, all clinicians attending will receive instruction on how to accurately and successfully conduct a rapid and accurate examination to assist in diagnosing fibromyalgia. This workshop is appropriate for all clinicians – psychiatrists, primary care physicians, nurses, physician assistants and nurse practitioners, etc. By participating in this activity, attendees will be able to: 1) Catagorize fibromyalgia as a common condition with a known set of diagnostic criteria; 2) Describe the ACR criteria for fibromyalgia and indentify the tender points; 3) Explain how to conduct a tender point examination appropriate in both psychiatric and nonpsychiatric settings. Tales From the Clinic: Recognizing the Humanity Behind the Patient PI Relationship Between Mental Disorders and Pain PD PM Many patients with pain suffer from comorbid mental disorders, most notably mood, anxiety and sleep disorders. For these patients, successful treatment of the pain requires that both it and the mental disorders be addressed. By participating in this activity, attendees will be able to: 1) Determine how to diagnose pain and mental disorders when both problems are present; 2) Discuss commonly occurring pain conditions in which psychological factors may play a significant role; and 3) describe the optimal treatment approaches for patients with pain and mental disorders. 1:30-:30 p.m. 25-0 Depression 1:15-:30 p.m. 25-1 Use and Abuse of Prescription of Analgesics AP The prescription of opioid analgesics is often required to attain optimal pain relief. However, fears about abuse of these medications and concerns about legal ramifications for physicians who prescribe them may limit their use. By participating in this activity, attendees will be able to: 1) Determine whether the prescription of opioid analgesics is indicated for individual patients; 2) Discuss how to identify patients who may be at risk for abusing opioid analgesics; and 3) Describe how physicians who choose to prescribe opioid analgesics can reduce their risk of being subject to sanctions by state and federal agencies. 26-2 The Right to Suicide PI 24-4 Club Drugs and Their Psychiatric Manifestations AP This talk explores the ongoing concerns about increase in the Customize Your Education With 12 Specialized Tracks Our educational tracks will help you create a schedule that best meets your educational goals. You can devote your time to one track or focus on several topics for a well-rounded perspective. Design your own optimal learning experience and return home with the clinical skills you need most in your practice. Is there such a thing as rational suicide? In this provocative session you will learn how to address the conflict between preserving live and allowing maximum freedom. You will learn mental health clinicians' attitudes toward assisted suicide and when civil or criminal legal liability may apply. By participating in this activity, attendees will be able to: 1) Understand physicians' attitudes toward patient suicide; 2) Understand the conflict between the patient's autonomy and the physician's desire to preserve life; and 3) Understand the physician's concerns about liability for a patient's suicide. 26-3 Grand Rounds: Diagnostic Pitfalls in Child Psychiatry CA In the alloted 15-minute medication check, how much does/can the psychiatrist hear/learn from his patient? 26-4 25-2 Infidelity I: Basic Background Concepts SC HOT! HOT! Infidelity II: Clinical Interventions SC AP = addiction Psychiatry CA = Child and adolescent Psychiatry CAM = Complementary and alternative Medicine GP = geriatric Psychiatry NP = neuropsychiatry PI = Practice issues, Ethics and Forensic Psychiatry PD = Psychiatric Disorders PM = Psychosomatic Medicine PT = Psychotherapy RX = Psychopharmacology SC = Social and Community Psychiatry VT = Violence and trauma Sexual contact with a person outside of a commited relationships violates the stated moral standards of 80% of the population. Core concepts which will be explored include: diverse motivations for breaking this social standard, the homogeneous antiinfidelity facade of public pronouncements, the unseen evolution of value positions about infidelity, countertransference to situations of infidelity, the use of privacy vs. secrecy, infidelity's positive and negative consequences, and the definition of meaning makers in situations of infidelity. By participating in this activity, attendees will be able to: 1) Provide tools for clear thinking when dealing with clinical situations of infidelity; 2) Raise awareness to the power of infidelity to cause diverse psychiatric symptoms; 3) Recognize the power of negative countertransference to ruin therapeutic interventions; 4) Demonstrate how to remain emotionally stable in the face of these situations. Many couples survive the recognition of present or past infidelity, but not without powerful emotional storms. This lecture will separately describe the challenges routinely encountered when working with the mental state of distressed spouse and the unfaithful partner. It will discuss seven issues that recur in couple's therapy and will provide specific recommendations for the therapist's response. By participating in this activity, attendees will be able to: 1) Clarify the four recurrent affectively powerful concerns of the aggrieved spouse; 2) Demonstrate that learning about the motives of infidelity requires a respectful relationship and a thoughtful explorations of the patient's past and current values about infidelity; 3) Demonstrate how to maintain good boundaries with a couple while being a mutually empathic guide through the usual contentious issues; 4) Show how to remain calm when dealing competently with this evocative topic. 26-5 Clinical Psychopharmacology RX 25-3 Psychiatric Drugs in the Pipeline RX Pharmacologic treatments of different psychiatric indications are evolving and a number of new drugs are in development. By participating in this activity, attendees will be able to: 1) Recent advances in clinical psychopharmacology have greatly assisted in the effectiv

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